| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.74 | $246.74 | $1,400.00 | |
CareSource
| Facility | $251.88 | $285.06 | $310.57 | |
Cigna
| Facility | $268.56 | $268.56 | $268.56 |
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 | $246.74 | $246.74 | $1,400.00 | |
CareSource
| Facility | $251.88 | $285.06 | $310.57 | |
Cigna
| Facility | $268.56 | $268.56 | $268.56 |