| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $631.46 | $631.46 | $8,500.00 | |
Medica
| Facility | $631.46 | $856.65 | $1,894.38 |
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 | $631.46 | $631.46 | $8,500.00 | |
Medica
| Facility | $631.46 | $856.65 | $1,894.38 |