| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,071.80 | $4,071.80 | $4,071.80 | |
Providence
| Facility | $4,071.80 | $4,937.39 | $5,108.70 |
Cabg W/Arterial Graft Four/>Arterial Grafts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,071.80 | $4,071.80 | $4,071.80 | |
Providence
| Facility | $4,071.80 | $4,937.39 | $5,108.70 |