| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $2,089.30 | $6,606.93 | |
Medica
| Facility | $20.89 | $562.34 | $2,570.40 | |
Medica
| Facility | AS | $7.08 | $7.08 | $7.08 |
United
| Facility | $138.04 | $630.96 | $1,659.59 |
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 | $213.80 | $2,089.30 | $6,606.93 | |
Medica
| Facility | $20.89 | $562.34 | $2,570.40 | |
Medica
| Facility | AS | $7.08 | $7.08 | $7.08 |
United
| Facility | $138.04 | $630.96 | $1,659.59 |