| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $1,258.93 | $7,762.47 | |
Providence
| Facility | $1,318.26 | $1,445.44 | $3,162.28 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |
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 | $1,230.27 | $1,258.93 | $7,762.47 | |
Providence
| Facility | $1,318.26 | $1,445.44 | $3,162.28 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |