| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,318.26 | $1,949.84 | $5,248.07 | |
Providence
| Facility | $1,380.38 | $2,041.74 | $5,248.07 |
Closure of enterovesical fistula; without intestinal or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,318.26 | $1,949.84 | $5,248.07 | |
Providence
| Facility | $1,380.38 | $2,041.74 | $5,248.07 |