| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.20 | $194.98 | $194.98 | |
Cigna
| Professional | $20.42 | $20.42 | $25.12 | |
United
| Facility | $8.32 | $8.32 | $8.32 | |
United
| Professional | $10.72 | $15.14 | $39.81 |
Antiepileptics, not otherwise specified; 1-3
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.20 | $194.98 | $194.98 | |
Cigna
| Professional | $20.42 | $20.42 | $25.12 | |
United
| Facility | $8.32 | $8.32 | $8.32 | |
United
| Professional | $10.72 | $15.14 | $39.81 |