| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.52 | $4,586.04 | $5,160.60 | |
Martin's Point
| Facility | $4,586.04 | $4,586.04 | $5,160.60 |
Cystostomy, cystotomy with drainage
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.52 | $4,586.04 | $5,160.60 | |
Martin's Point
| Facility | $4,586.04 | $4,586.04 | $5,160.60 |