| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,523.59 | $1,523.59 | $8,500.00 | |
Medica
| Facility | $1,414.68 | $1,980.67 | $3,313.09 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Closure of enterovesical fistula; with intestine and/or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,523.59 | $1,523.59 | $8,500.00 | |
Medica
| Facility | $1,414.68 | $1,980.67 | $3,313.09 | |
United
| Facility | $681.00 | $681.00 | $681.00 |