| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4,224.04 | $4,224.04 | $4,224.04 | |
Cigna
| Facility | $8.94 | $37.43 | $1,568.82 |
ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $4,224.04 | $4,224.04 | $4,224.04 | |
Cigna
| Facility | $8.94 | $37.43 | $1,568.82 |