| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.23 | $20.23 | $25.30 | |
United
| Professional | $10.65 | $14.41 | $36.49 |
Antiepileptics Not Otherwise Specified 1-3
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.23 | $20.23 | $25.30 | |
United
| Professional | $10.65 | $14.41 | $36.49 |