| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $21.06 | $78.28 | $171.32 | |
Cigna
| Professional | $27.67 | $27.67 | $34.59 |
Antidepressants Tricyclic Other Cyclicals 6/More
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $21.06 | $78.28 | $171.32 | |
Cigna
| Professional | $27.67 | $27.67 | $34.59 |