| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | AA | $617.13 | $727.65 | $771.41 |
Wellmark
| Professional | AA | $666.00 | $666.00 | $666.00 |
Wellmark
| Professional | QZ | $519.29 | $519.29 | $519.29 |
Anesthesia Arteries Upper Leg Incl Bypass Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | AA | $617.13 | $727.65 | $771.41 |
Wellmark
| Professional | AA | $666.00 | $666.00 | $666.00 |
Wellmark
| Professional | QZ | $519.29 | $519.29 | $519.29 |