| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,568.64 | $1,775.82 | $2,071.79 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
Closure of enterovesical fistula; with intestine and/or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,568.64 | $1,775.82 | $2,071.79 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |