| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $2,238.72 | $2,630.27 | $3,801.89 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $2,238.72 | $2,630.27 | $3,801.89 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |