| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $78.20 | $85.32 | $99.54 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $78.20 | $85.32 | $99.54 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |