| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,062.93 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $3,381.95 | $13,142.21 | $18,793.36 | |
Providence
| Facility | $3,381.95 | $13,142.21 | $18,793.36 |
Open closure of major bronchial fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,062.93 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $3,381.95 | $13,142.21 | $18,793.36 | |
Providence
| Facility | $3,381.95 | $13,142.21 | $18,793.36 |