| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |
Antiepileptics Not Otherwise Specified 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |