| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.05 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |
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 | $561.05 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |