| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,819.94 | $3,819.94 | $3,819.94 | |
Providence
| Facility | $3,819.94 | $4,615.00 | $4,783.60 |
Coronary artery bypass, vein only; 4 coronary venous grafts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,819.94 | $3,819.94 | $3,819.94 | |
Providence
| Facility | $3,819.94 | $4,615.00 | $4,783.60 |