| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.57 | $1,140.00 | $2,010.00 | |
United
| Facility | $690.00 | $1,236.00 | $5,253.00 |
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 | $313.57 | $1,140.00 | $2,010.00 | |
United
| Facility | $690.00 | $1,236.00 | $5,253.00 |