| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.74 | $861.74 | $8,500.00 | |
Medica
| Facility | $861.74 | $1,204.85 | $2,585.21 |
Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.74 | $861.74 | $8,500.00 | |
Medica
| Facility | $861.74 | $1,204.85 | $2,585.21 |