| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.41 | $246.41 | $1,400.00 | |
CareSource
| Facility | $248.14 | $284.08 | $309.50 | |
Cigna
| Facility | $266.72 | $266.72 | $266.72 |
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 | $246.41 | $246.41 | $1,400.00 | |
CareSource
| Facility | $248.14 | $284.08 | $309.50 | |
Cigna
| Facility | $266.72 | $266.72 | $266.72 |