| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $806.98 | $806.98 | $8,500.00 | |
Medica
| Facility | $806.98 | $1,029.84 | $2,420.94 |
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 | $806.98 | $806.98 | $8,500.00 | |
Medica
| Facility | $806.98 | $1,029.84 | $2,420.94 |