| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $488.61 | $621.87 | $719.31 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |
Closure Cystostomy Separate Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $488.61 | $621.87 | $719.31 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |