| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $265.52 | $265.52 | $265.52 | |
Providence
| Facility | $265.52 | $265.52 | $265.52 |
Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $265.52 | $265.52 | $265.52 | |
Providence
| Facility | $265.52 | $265.52 | $265.52 |