| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Kaiser Permanente
| Professional | $1,202.26 | $1,445.44 | $1,778.28 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 |
Closure of enterovesical fistula; without intestinal or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Kaiser Permanente
| Professional | $1,202.26 | $1,445.44 | $1,778.28 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 |