| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $691.83 | $851.14 | $1,949.84 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $691.83 | $851.14 | $1,949.84 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |