| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,504.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,534.04 | $8,234.54 | $11,528.36 | |
Providence
| Facility | $1,534.04 | $8,234.54 | $11,528.36 |
Closure of enterovesical fistula; with intestine and/or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,504.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,534.04 | $8,234.54 | $11,528.36 | |
Providence
| Facility | $1,534.04 | $8,234.54 | $11,528.36 |