| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.35 | $236.35 | $8,500.00 | |
Medica
| Facility | $236.35 | $302.82 | $709.05 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.35 | $236.35 | $8,500.00 | |
Medica
| Facility | $236.35 | $302.82 | $709.05 |