| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $580.95 | $2,161.94 | $3,091.57 | |
Providence
| Facility | $580.95 | $2,161.94 | $3,091.57 |
Closure of cystostomy (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $580.95 | $2,161.94 | $3,091.57 | |
Providence
| Facility | $580.95 | $2,161.94 | $3,091.57 |