| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $6,084.00 | $7,424.00 | |
Kaiser Permanente
| Professional | $1,211.10 | $1,321.21 | $1,541.41 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |
Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $6,084.00 | $7,424.00 | |
Kaiser Permanente
| Professional | $1,211.10 | $1,321.21 | $1,541.41 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |