| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.44 | $333.44 | $8,500.00 | |
Medica
| Facility | $333.44 | $422.19 | $1,000.32 |
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 | $333.44 | $333.44 | $8,500.00 | |
Medica
| Facility | $333.44 | $422.19 | $1,000.32 |