| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,018.00 | $12,981.00 | $17,394.00 | |
BCBS
| Facility | $3,321.91 | $5,293.04 | $8,160.00 | |
Cigna
| Facility | $5,500.00 | $6,771.00 | $9,994.00 |
Lithotripsy - General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,018.00 | $12,981.00 | $17,394.00 | |
BCBS
| Facility | $3,321.91 | $5,293.04 | $8,160.00 | |
Cigna
| Facility | $5,500.00 | $6,771.00 | $9,994.00 |
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