| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,122.02 | $1,445.44 | $1,949.84 | |
Cigna
| Professional | $954.99 | $1,621.81 | $2,511.89 | |
United
| Professional | $1,148.15 | $1,548.82 | $4,570.88 |
Closure of ureterovisceral fistula (including visceral repair)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,122.02 | $1,445.44 | $1,949.84 | |
Cigna
| Professional | $954.99 | $1,621.81 | $2,511.89 | |
United
| Professional | $1,148.15 | $1,548.82 | $4,570.88 |