| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.76 | $228.76 | $8,500.00 | |
Medica
| Facility | $228.76 | $294.66 | $686.28 |
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 | $228.76 | $228.76 | $8,500.00 | |
Medica
| Facility | $228.76 | $294.66 | $686.28 |