| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.41 | $0.41 | $0.41 | |
BCBS
| Professional | $0.68 | $0.68 | $0.68 | |
Providence
| Professional | $1.60 | $1.60 | $1.60 |
Enternal Formula For Pediatrics Nutritionally Complete With Intact Nutrients
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.41 | $0.41 | $0.41 | |
BCBS
| Professional | $0.68 | $0.68 | $0.68 | |
Providence
| Professional | $1.60 | $1.60 | $1.60 |