| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.02 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $289.75 | $1,313.81 | $1,878.75 | |
Providence
| Facility | $289.75 | $1,313.81 | $1,878.75 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.02 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $289.75 | $1,313.81 | $1,878.75 | |
Providence
| Facility | $289.75 | $1,313.81 | $1,878.75 |