| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,238.34 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $519.41 | $2,378.51 | $3,401.27 | |
Providence
| Facility | $519.41 | $2,378.51 | $3,401.27 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,238.34 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $519.41 | $2,378.51 | $3,401.27 | |
Providence
| Facility | $519.41 | $2,378.51 | $3,401.27 |