| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.41 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $93.42 | $118.90 | $129.13 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
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 | $86.41 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $93.42 | $118.90 | $129.13 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |