| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,000.60 | $1,000.60 | $1,000.60 | |
Providence
| Facility | $1,000.60 | $1,223.30 | $1,263.09 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,000.60 | $1,000.60 | $1,000.60 | |
Providence
| Facility | $1,000.60 | $1,223.30 | $1,263.09 |