| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.41 | $297.41 | $1,400.00 | |
CareSource
| Facility | $297.82 | $342.53 | $373.19 | |
Cigna
| Facility | $319.48 | $319.48 | $319.48 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.41 | $297.41 | $1,400.00 | |
CareSource
| Facility | $297.82 | $342.53 | $373.19 | |
Cigna
| Facility | $319.48 | $319.48 | $319.48 |