| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,419.42 | $1,419.42 | $8,500.00 | |
Medica
| Facility | $1,316.17 | $1,805.31 | $3,080.91 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Closure of enteroenteric or enterocolic fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,419.42 | $1,419.42 | $8,500.00 | |
Medica
| Facility | $1,316.17 | $1,805.31 | $3,080.91 | |
United
| Facility | $681.00 | $681.00 | $681.00 |