| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.33 | $0.33 | $0.59 | |
Cigna
| Professional | $5.92 | $5.92 | $5.92 | |
United
| Professional | $0.69 | $0.93 | $2.13 |
Enteral Formula Nutritionally Incomplete/Modular Nutients Includes Specific Calories = 1 Unit (Special Coverage Instructions A
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.33 | $0.33 | $0.59 | |
Cigna
| Professional | $5.92 | $5.92 | $5.92 | |
United
| Professional | $0.69 | $0.93 | $2.13 |