| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $361.96 | $1,342.05 | $1,919.13 | |
Providence
| Facility | $361.96 | $1,342.05 | $1,919.13 |
Cystostomy, cystotomy with drainage
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $361.96 | $1,342.05 | $1,919.13 | |
Providence
| Facility | $361.96 | $1,342.05 | $1,919.13 |