| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.78 | $0.78 | $0.78 | |
Cigna
| Professional | $0.96 | $0.96 | $5.92 | |
MVP Health Care
| Professional | $0.96 | $0.96 | $0.96 | |
United
| Professional | $0.35 | $1.33 | $1.42 |
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 | $0.78 | $0.78 | $0.78 | |
Cigna
| Professional | $0.96 | $0.96 | $5.92 | |
MVP Health Care
| Professional | $0.96 | $0.96 | $0.96 | |
United
| Professional | $0.35 | $1.33 | $1.42 |