| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $2,730.60 | $2,987.75 | $3,094.00 |
Aetna
| Professional | QZ | $453.26 | $453.26 | $453.26 |
Cigna
| Professional | AA | $1,047.22 | $1,047.22 | $1,190.03 |
Anesthesia Arteries Upper Leg Incl Bypass Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $2,730.60 | $2,987.75 | $3,094.00 |
Aetna
| Professional | QZ | $453.26 | $453.26 | $453.26 |
Cigna
| Professional | AA | $1,047.22 | $1,047.22 | $1,190.03 |