| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,071.52 | $1,412.54 | $1,995.26 | |
Cigna
| Professional | $1,071.52 | $1,548.82 | $2,570.40 | |
United
| Professional | $1,202.26 | $1,621.81 | $4,677.35 |
Closure of nephrocutaneous or pyelocutaneous fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,071.52 | $1,412.54 | $1,995.26 | |
Cigna
| Professional | $1,071.52 | $1,548.82 | $2,570.40 | |
United
| Professional | $1,202.26 | $1,621.81 | $4,677.35 |