| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $16.09 | $64.81 | $141.86 | |
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 |
|---|---|---|---|---|---|
CareFirst
| Professional | $16.09 | $64.81 | $141.86 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 |