| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.41 | $181.41 | $1,400.00 | |
CareSource
| Facility | $182.00 | $209.44 | $228.18 | |
Cigna
| Facility | $194.46 | $194.46 | $194.46 | |
Cigna
| Facility | AS | $18.82 | $18.82 | $18.82 |
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 | $181.41 | $181.41 | $1,400.00 | |
CareSource
| Facility | $182.00 | $209.44 | $228.18 | |
Cigna
| Facility | $194.46 | $194.46 | $194.46 | |
Cigna
| Facility | AS | $18.82 | $18.82 | $18.82 |