| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $575.44 | $676.08 | $2,137.96 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
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 | $660.69 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $575.44 | $676.08 | $2,137.96 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |