| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $2,145.21 | $2,903.95 | $6,961.61 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $2,145.21 | $2,903.95 | $6,961.61 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |