| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $50.31 | $59.49 | $59.93 | |
Cigna
| Professional | $21.06 | $21.27 | $26.75 |
Antiepileptics Not Otherwise Specified 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $50.31 | $59.49 | $59.93 | |
Cigna
| Professional | $21.06 | $21.27 | $26.75 |