| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $1,479.11 | $1,949.84 | $2,951.21 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
Closure of enterovesical fistula; without intestinal or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $1,479.11 | $1,949.84 | $2,951.21 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |