| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $22.05 | $29.09 | $34.01 | |
United
| Professional | $23.63 | $23.63 | $23.63 |
Antidepressants, tricyclic and other cyclicals; 3-5
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $22.05 | $29.09 | $34.01 | |
United
| Professional | $23.63 | $23.63 | $23.63 |