| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $38.52 | $48.14 | |
Medica
| Facility | $31.12 | $31.12 | $90.00 | |
Medica
| Professional | $39.00 | $39.00 | $39.00 | |
Midlands
| Professional | $28.40 | $36.00 | $45.45 |
Doxepin
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $38.52 | $48.14 | |
Medica
| Facility | $31.12 | $31.12 | $90.00 | |
Medica
| Professional | $39.00 | $39.00 | $39.00 | |
Midlands
| Professional | $28.40 | $36.00 | $45.45 |