| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.39 | $446.39 | $1,400.00 | |
CareSource
| Facility | $446.84 | $511.26 | $557.04 | |
Cigna
| Facility | $480.59 | $480.59 | $480.59 |
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 | $446.39 | $446.39 | $1,400.00 | |
CareSource
| Facility | $446.84 | $511.26 | $557.04 | |
Cigna
| Facility | $480.59 | $480.59 | $480.59 |