| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.03 | $425.00 | $425.00 | |
Medica
| Facility | $100.00 | $100.00 | $278.95 |
NOC for enteral supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.03 | $425.00 | $425.00 | |
Medica
| Facility | $100.00 | $100.00 | $278.95 |