| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $425.00 | $425.00 | $425.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $425.00 | $425.00 | $425.00 |
NOC for enteral supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $425.00 | $425.00 | $425.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $425.00 | $425.00 | $425.00 |