| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $81.28 | $117.49 | $302.00 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |
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 | $107.15 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $81.28 | $117.49 | $302.00 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |