| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $1,288.25 | $2,454.71 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $1,288.25 | $2,454.71 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 |