| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.89 | $20.89 | $26.30 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |
Antiepileptics, not otherwise specified; 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.89 | $20.89 | $26.30 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |