| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,315.33 | $1,315.33 | $8,500.00 | |
Medica
| Facility | $1,315.33 | $1,833.93 | $3,945.99 |
Ureteroileal Conduit W/Intestine Anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,315.33 | $1,315.33 | $8,500.00 | |
Medica
| Facility | $1,315.33 | $1,833.93 | $3,945.99 |