| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.76 | $0.76 | $0.76 | |
Aetna
| Professional | $0.76 | $0.76 | $1.18 | |
Cigna
| Professional | $0.72 | $0.72 | $0.88 | |
United
| Professional | $0.47 | $0.49 | $2.09 |
Enteral Formula Manufactured Blendarized Natural Foods With Intact Nutrients Includes Proteins Fats Carbohydrates Vitamins And Minerals May Include Fiber Administered Through An Enteralfeeding Tube 100 Calories=1 Unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.76 | $0.76 | $0.76 | |
Aetna
| Professional | $0.76 | $0.76 | $1.18 | |
Cigna
| Professional | $0.72 | $0.72 | $0.88 | |
United
| Professional | $0.47 | $0.49 | $2.09 |