| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $354.81 | $1,071.52 | |
Cigna
| Professional | $380.19 | $436.52 | $912.01 | |
United
| Professional | $354.81 | $436.52 | $1,096.48 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $354.81 | $1,071.52 | |
Cigna
| Professional | $380.19 | $436.52 | $912.01 | |
United
| Professional | $354.81 | $436.52 | $1,096.48 |