| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $19.50 | $19.50 | $23.99 | |
United
| Professional | $10.72 | $15.14 | $37.15 |
Amphetamines; 1 or 2
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $19.50 | $19.50 | $23.99 | |
United
| Professional | $10.72 | $15.14 | $37.15 |