| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $82,999.99 | $94,999.99 | |
Cigna
| Professional | $27.67 | $27.67 | $34.59 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |
Antidepressants Tricyclic Other Cyclicals 6/More
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $82,999.99 | $94,999.99 | |
Cigna
| Professional | $27.67 | $27.67 | $34.59 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |