| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $24.71 | $24.71 | $24.71 | |
Providence
| Facility | $24.71 | $29.90 | $30.99 |
Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $24.71 | $24.71 | $24.71 | |
Providence
| Facility | $24.71 | $29.90 | $30.99 |