| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $975.87 | $1,709.03 | $2,065.21 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |
Cystotomy Excise Bladder Diverticulum 1/Multiple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $975.87 | $1,709.03 | $2,065.21 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |