| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,413.58 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,012.66 | $4,635.78 | $6,629.17 | |
Providence
| Facility | $1,012.66 | $4,635.78 | $6,629.17 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,413.58 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,012.66 | $4,635.78 | $6,629.17 | |
Providence
| Facility | $1,012.66 | $4,635.78 | $6,629.17 |