| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $192.21 | $209.91 | |
Cigna
| Professional | $26.02 | $26.02 | $32.52 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 |
Amphetamines; 5 or more
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $192.21 | $209.91 | |
Cigna
| Professional | $26.02 | $26.02 | $32.52 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 |