| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $16.17 | $19.62 | $26.40 | |
Cigna
| Facility | $3,138.00 | $3,138.00 | $3,138.00 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 |
Antiepileptics Not Otherwise Specified 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $16.17 | $19.62 | $26.40 | |
Cigna
| Facility | $3,138.00 | $3,138.00 | $3,138.00 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 |