| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,246.28 | $4,174.00 | $10,202.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |
Closure of enterovesical fistula; without intestinal or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,246.28 | $4,174.00 | $10,202.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |