| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,336.11 | $2,336.11 | $2,336.11 | |
Cigna
| Professional | $1,275.00 | $1,275.00 | $1,275.00 | |
United
| Professional | $1,826.34 | $3,571.71 | $4,232.06 |
Parenteral Nutrition Infusion Pump Portable (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,336.11 | $2,336.11 | $2,336.11 | |
Cigna
| Professional | $1,275.00 | $1,275.00 | $1,275.00 | |
United
| Professional | $1,826.34 | $3,571.71 | $4,232.06 |