| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,541.00 | $2,579.06 | $7,912.98 | |
Cigna
| Facility | $5,958.00 | $5,958.00 | $5,958.00 | |
Medica
| Facility | $10,460.00 | $10,460.00 | $10,460.00 |
ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,541.00 | $2,579.06 | $7,912.98 | |
Cigna
| Facility | $5,958.00 | $5,958.00 | $5,958.00 | |
Medica
| Facility | $10,460.00 | $10,460.00 | $10,460.00 |