| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.77 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $17.89 | $22.79 | $25.03 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $17.77 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $17.89 | $22.79 | $25.03 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |