| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $19.48 | $78.28 | $171.32 | |
Cigna
| Professional | $23.95 | $23.95 | $29.94 |
Antidepressants, tricyclic and other cyclicals; 3-5
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $19.48 | $78.28 | $171.32 | |
Cigna
| Professional | $23.95 | $23.95 | $29.94 |