| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,404.88 | $2,404.88 | $8,500.00 | |
Medica
| Facility | $2,404.88 | $3,287.75 | $7,214.64 |
Coronary Artery Bypass 4 Coronary Venous Grafts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,404.88 | $2,404.88 | $8,500.00 | |
Medica
| Facility | $2,404.88 | $3,287.75 | $7,214.64 |