| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $288.14 | $288.14 | $288.14 | |
Providence
| Facility | $288.14 | $349.05 | $360.53 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $288.14 | $288.14 | $288.14 | |
Providence
| Facility | $288.14 | $349.05 | $360.53 |