| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.22 | $17.22 | $1,400.00 | |
CareSource
| Facility | $15.56 | $21.01 | $25.67 | |
Cigna
| Facility | $18.07 | $18.07 | $18.07 | |
Cigna
| Facility | AS | $1.75 | $1.75 | $1.75 |
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 | $17.22 | $17.22 | $1,400.00 | |
CareSource
| Facility | $15.56 | $21.01 | $25.67 | |
Cigna
| Facility | $18.07 | $18.07 | $18.07 | |
Cigna
| Facility | AS | $1.75 | $1.75 | $1.75 |