| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.89 | $20.89 | $26.30 | |
United
| Professional | $7.59 | $7.59 | $95.50 |
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 | |
United
| Professional | $7.59 | $7.59 | $95.50 |