| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,546.94 | $10,900.00 | $28,419.07 | |
Moda Health
| Facility | $1,079.33 | $4,027.97 | $5,760.00 | |
Providence
| Facility | $1,079.33 | $4,027.97 | $5,760.00 |
Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,546.94 | $10,900.00 | $28,419.07 | |
Moda Health
| Facility | $1,079.33 | $4,027.97 | $5,760.00 | |
Providence
| Facility | $1,079.33 | $4,027.97 | $5,760.00 |