| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,371.47 | $1,371.47 | $8,500.00 | |
Medica
| Facility | $1,165.75 | $1,734.42 | $2,975.20 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Closure Intestinal Cutaneous Fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,371.47 | $1,371.47 | $8,500.00 | |
Medica
| Facility | $1,165.75 | $1,734.42 | $2,975.20 | |
United
| Facility | $681.00 | $681.00 | $681.00 |