| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,513.56 | $1,949.84 | $10,232.93 | |
Providence
| Facility | $1,949.84 | $7,244.36 | $10,471.29 |
Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,513.56 | $1,949.84 | $10,232.93 | |
Providence
| Facility | $1,949.84 | $7,244.36 | $10,471.29 |