| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.38 | $547.38 | $1,400.00 | |
CareSource
| Facility | $550.42 | $632.26 | $688.86 | |
Cigna
| Facility | $589.27 | $589.27 | $589.27 |
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 | $547.38 | $547.38 | $1,400.00 | |
CareSource
| Facility | $550.42 | $632.26 | $688.86 | |
Cigna
| Facility | $589.27 | $589.27 | $589.27 |