| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.98 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $379.43 | $1,734.37 | $2,480.15 | |
Providence
| Facility | $379.43 | $1,734.37 | $2,480.15 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.98 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $379.43 | $1,734.37 | $2,480.15 | |
Providence
| Facility | $379.43 | $1,734.37 | $2,480.15 |