| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.19 | $480.19 | $1,400.00 | |
CareSource
| Facility | $541.48 | $598.70 | $652.30 | |
Cigna
| Facility | $581.75 | $581.75 | $581.75 |
Revision of urinary-cutaneous anastomosis (any type urostomy);
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.19 | $480.19 | $1,400.00 | |
CareSource
| Facility | $541.48 | $598.70 | $652.30 | |
Cigna
| Facility | $581.75 | $581.75 | $581.75 |