| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,124.69 | $1,124.69 | $1,124.69 | |
Providence
| Facility | $1,124.69 | $1,378.65 | $1,421.86 | |
United
| Facility | $888.13 | $888.13 | $888.13 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,124.69 | $1,124.69 | $1,124.69 | |
Providence
| Facility | $1,124.69 | $1,378.65 | $1,421.86 | |
United
| Facility | $888.13 | $888.13 | $888.13 |