| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $331.13 | $75,857.76 | $95,499.26 | |
Cigna
| Professional | $23.99 | $23.99 | $30.20 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |
Antidepressants, tricyclic and other cyclicals; 3-5
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $331.13 | $75,857.76 | $95,499.26 | |
Cigna
| Professional | $23.99 | $23.99 | $30.20 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |