| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.75 | $27.75 | $34.69 | |
Medica
| Facility | $36.59 | $36.59 | $36.59 |
Noc For Enteral Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.75 | $27.75 | $34.69 | |
Medica
| Facility | $36.59 | $36.59 | $36.59 |