| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.68 | $7,838.38 | $7,838.38 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $258.68 | $7,838.38 | $7,838.38 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |