| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.89 | $20.89 | $26.30 | |
Medcost
| Facility | $7.08 | $7.08 | $13.49 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
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 | |
Medcost
| Facility | $7.08 | $7.08 | $13.49 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |