| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.09 | $160.09 | $8,500.00 | |
Medica
| Facility | $160.09 | $203.94 | $480.27 |
Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.09 | $160.09 | $8,500.00 | |
Medica
| Facility | $160.09 | $203.94 | $480.27 |