| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,104.25 | $2,104.25 | $2,104.25 | |
Providence
| Facility | $1,295.25 | $1,757.58 | $2,479.40 |
Closure of enterovesical fistula; without intestinal or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,104.25 | $2,104.25 | $2,104.25 | |
Providence
| Facility | $1,295.25 | $1,757.58 | $2,479.40 |