| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $873.76 | $873.76 | $1,400.00 | |
CareSource
| Facility | $874.29 | $1,004.54 | $1,094.47 | |
Cigna
| Facility | $941.05 | $941.05 | $941.05 |
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 | $873.76 | $873.76 | $1,400.00 | |
CareSource
| Facility | $874.29 | $1,004.54 | $1,094.47 | |
Cigna
| Facility | $941.05 | $941.05 | $941.05 |