| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3,077.52 | $3,077.52 | $3,077.52 | |
Anthem BCBS
| Facility | $15,833.00 | $15,833.00 | $17,584.00 |
ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $3,077.52 | $3,077.52 | $3,077.52 | |
Anthem BCBS
| Facility | $15,833.00 | $15,833.00 | $17,584.00 |