| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.59 | $1,688.00 | $9,477.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.59 | $1,688.00 | $9,477.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |