| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $71.26 | $71.26 | $71.26 | |
Cigna
| Professional | $20.23 | $20.23 | $25.30 | |
United
| Professional | $8.38 | $22.85 | $40.58 |
Antidepressants Tricyclic Other Cyclicals 1 Or 2
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $71.26 | $71.26 | $71.26 | |
Cigna
| Professional | $20.23 | $20.23 | $25.30 | |
United
| Professional | $8.38 | $22.85 | $40.58 |