| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $364.91 | $364.91 | $364.91 | |
Providence
| Facility | $364.91 | $364.91 | $364.91 |
Ecmo/Ecls Rmvl Of Prph Cannula Prq 6 Yrs & Older
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $364.91 | $364.91 | $364.91 | |
Providence
| Facility | $364.91 | $364.91 | $364.91 |