| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.66 | $239.66 | $1,400.00 | |
CareSource
| Facility | $245.71 | $278.08 | $302.98 | |
Cigna
| Facility | $262.33 | $262.33 | $262.33 |
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 | $239.66 | $239.66 | $1,400.00 | |
CareSource
| Facility | $245.71 | $278.08 | $302.98 | |
Cigna
| Facility | $262.33 | $262.33 | $262.33 |