| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4,075.29 | $4,075.29 | $5,700.08 | |
Christus
| Facility | $26.00 | $28.00 | $40.00 |
Lithotripsy - General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4,075.29 | $4,075.29 | $5,700.08 | |
Christus
| Facility | $26.00 | $28.00 | $40.00 |