| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.90 | $196.90 | $1,400.00 | |
CareSource
| Facility | $196.00 | $225.34 | $245.51 | |
Cigna
| Facility | $210.96 | $210.96 | $210.96 | |
Cigna
| Facility | AS | $20.43 | $20.43 | $20.43 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $196.90 | $196.90 | $1,400.00 | |
CareSource
| Facility | $196.00 | $225.34 | $245.51 | |
Cigna
| Facility | $210.96 | $210.96 | $210.96 | |
Cigna
| Facility | AS | $20.43 | $20.43 | $20.43 |