| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $776.25 | $2,454.71 | $3,715.35 |
Aetna
| Professional | QZ | $977.24 | $977.24 | $977.24 |
Cigna
| Professional | AA | $630.96 | $630.96 | $794.33 |
Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $776.25 | $2,454.71 | $3,715.35 |
Aetna
| Professional | QZ | $977.24 | $977.24 | $977.24 |
Cigna
| Professional | AA | $630.96 | $630.96 | $794.33 |