| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $32.25 | $32.25 | $32.25 | |
BCBS
| Professional | $32.25 | $32.25 | $32.25 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 |
Antiepileptics Not Otherwise Specified 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $32.25 | $32.25 | $32.25 | |
BCBS
| Professional | $32.25 | $32.25 | $32.25 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 |