| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.47 | $430.47 | $1,400.00 | |
CareSource
| Facility | $400.61 | $540.82 | $661.01 | |
Cigna
| Facility | $462.06 | $462.06 | $462.06 | |
Cigna
| Facility | AS | $44.74 | $44.74 | $44.74 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.47 | $430.47 | $1,400.00 | |
CareSource
| Facility | $400.61 | $540.82 | $661.01 | |
Cigna
| Facility | $462.06 | $462.06 | $462.06 | |
Cigna
| Facility | AS | $44.74 | $44.74 | $44.74 |