| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.06 | $0.06 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Medcost
| Facility | $7.15 | $7.15 | $13.56 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Antiepileptics Not Otherwise Specified 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.06 | $0.06 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Medcost
| Facility | $7.15 | $7.15 | $13.56 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |