| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $997.87 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $419.73 | $1,916.61 | $2,740.75 | |
Providence
| Facility | $419.73 | $1,916.61 | $2,740.75 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $997.87 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $419.73 | $1,916.61 | $2,740.75 | |
Providence
| Facility | $419.73 | $1,916.61 | $2,740.75 |