| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.69 | $1,380.38 | $2,825.00 | |
United
| Facility | $690.00 | $1,236.00 | $8,817.00 |
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 | $577.69 | $1,380.38 | $2,825.00 | |
United
| Facility | $690.00 | $1,236.00 | $8,817.00 |