| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $967.62 | $967.62 | $1,400.00 | |
CareSource
| Facility | $966.76 | $1,113.24 | $1,212.89 | |
Cigna
| Facility | $1,037.29 | $1,037.29 | $1,037.29 |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $967.62 | $967.62 | $1,400.00 | |
CareSource
| Facility | $966.76 | $1,113.24 | $1,212.89 | |
Cigna
| Facility | $1,037.29 | $1,037.29 | $1,037.29 |