| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,569.00 | $10,439.00 | |
Medica
| Facility | $528.97 | $857.13 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |
Closure of cystostomy (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,569.00 | $10,439.00 | |
Medica
| Facility | $528.97 | $857.13 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |