| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,414.46 | $2,414.46 | $2,414.46 | |
Providence
| Facility | $1,491.70 | $2,070.96 | $2,837.40 |
Closure of enterovesical fistula; with intestine and/or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,414.46 | $2,414.46 | $2,414.46 | |
Providence
| Facility | $1,491.70 | $2,070.96 | $2,837.40 |