| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,630.27 | $6,606.93 | |
Medica
| Facility | $269.15 | $1,412.54 | $5,888.44 | |
United
| Facility | $346.74 | $1,949.84 | $6,165.95 |
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 | $1,000.00 | $2,630.27 | $6,606.93 | |
Medica
| Facility | $269.15 | $1,412.54 | $5,888.44 | |
United
| Facility | $346.74 | $1,949.84 | $6,165.95 |