| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,320.81 | $1,320.81 | $8,500.00 | |
Medica
| Facility | $1,229.96 | $1,693.89 | $2,875.35 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Closure of enterovesical fistula; without intestinal or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,320.81 | $1,320.81 | $8,500.00 | |
Medica
| Facility | $1,229.96 | $1,693.89 | $2,875.35 | |
United
| Facility | $681.00 | $681.00 | $681.00 |