| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $21.88 | $25.12 | $57.54 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
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 | $23.99 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $21.88 | $25.12 | $57.54 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |