| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $8,500.00 | $10,500.00 | |
Medica
| Facility | $15,847.54 | $15,847.54 | $15,847.54 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $8,500.00 | $10,500.00 | |
Medica
| Facility | $15,847.54 | $15,847.54 | $15,847.54 |