| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $51.29 | $91.20 | $190.55 | |
Cigna
| Professional | $23.99 | $23.99 | $30.20 |
Antidepressants, tricyclic and other cyclicals; 3-5
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $51.29 | $91.20 | $190.55 | |
Cigna
| Professional | $23.99 | $23.99 | $30.20 |