| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.88 | $1,483.76 | $5,562.56 | |
CareSource
| Facility | $1,421.70 | $1,602.29 | $1,745.73 | |
Cigna
| Facility | $1,526.15 | $1,526.15 | $1,526.15 |
Closure of enterovesical fistula; without intestinal or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.88 | $1,483.76 | $5,562.56 | |
CareSource
| Facility | $1,421.70 | $1,602.29 | $1,745.73 | |
Cigna
| Facility | $1,526.15 | $1,526.15 | $1,526.15 |