| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.20 | $0.20 | $0.41 | |
Cigna
| Professional | $0.33 | $0.33 | $0.33 | |
United
| Professional | $0.49 | $0.72 | $1.10 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.20 | $0.20 | $0.41 | |
Cigna
| Professional | $0.33 | $0.33 | $0.33 | |
United
| Professional | $0.49 | $0.72 | $1.10 |