| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $1,412.54 | |
CareSource
| Facility | $446.68 | $446.68 | $562.34 | |
Cigna
| Facility | $34.67 | $724.44 | $724.44 | |
United
| Facility | $758.58 | $758.58 | $758.58 |
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 | $446.68 | $446.68 | $1,412.54 | |
CareSource
| Facility | $446.68 | $446.68 | $562.34 | |
Cigna
| Facility | $34.67 | $724.44 | $724.44 | |
United
| Facility | $758.58 | $758.58 | $758.58 |