| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $35,999.64 | $35,999.64 | $69,999.30 | |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $35,999.64 | $35,999.64 | $69,999.30 | |
Cigna
| Professional | $23.95 | $23.95 | $29.94 |