| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.82 | $466.82 | $8,500.00 | |
Medica
| Facility | $466.82 | $656.60 | $1,400.46 |
Closure Cystostomy Separate Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.82 | $466.82 | $8,500.00 | |
Medica
| Facility | $466.82 | $656.60 | $1,400.46 |