| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5,238.95 | $6,503.53 | $6,517.31 | |
Anthem BCBS
| Facility | $2,546.00 | $3,017.00 | $3,578.00 |
Lithotripsy - General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $5,238.95 | $6,503.53 | $6,517.31 | |
Anthem BCBS
| Facility | $2,546.00 | $3,017.00 | $3,578.00 |