| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,397.11 | $4,540.00 | $10,692.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |
Closure of enterovesical fistula; with intestine and/or bladder resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,397.11 | $4,540.00 | $10,692.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |