| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $834.97 | $834.97 | $834.97 | |
Providence
| Facility | $834.97 | $1,015.30 | $1,048.69 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $834.97 | $834.97 | $834.97 | |
Providence
| Facility | $834.97 | $1,015.30 | $1,048.69 |