| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.37 | $30.46 | |
Medica
| Facility | $13.81 | $13.81 | $90.00 | |
Medica
| Professional | $18.35 | $23.18 | $45.28 |
Doxepin
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.37 | $30.46 | |
Medica
| Facility | $13.81 | $13.81 | $90.00 | |
Medica
| Professional | $18.35 | $23.18 | $45.28 |