| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.39 | $1,277.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.39 | $1,277.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |