| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $51.29 | $91.20 | $190.55 | |
Cigna
| Professional | $27.54 | $27.54 | $34.67 |
Antidepressants, tricyclic and other cyclicals; 6 or more
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $51.29 | $91.20 | $190.55 | |
Cigna
| Professional | $27.54 | $27.54 | $34.67 |