| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.08 | $84.08 | $1,400.00 | |
CareSource
| Facility | $83.34 | $96.36 | $104.99 | |
Cigna
| Facility | $90.06 | $90.06 | $90.06 |
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 | $84.08 | $84.08 | $1,400.00 | |
CareSource
| Facility | $83.34 | $96.36 | $104.99 | |
Cigna
| Facility | $90.06 | $90.06 | $90.06 |