| 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 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and 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 |