| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
MVP Health Care
| Professional | $21.06 | $26.33 | $33.29 | |
United
| Professional | $40.24 | $40.24 | $140.00 |
Antiepileptics Not Otherwise Specified 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
MVP Health Care
| Professional | $21.06 | $26.33 | $33.29 | |
United
| Professional | $40.24 | $40.24 | $140.00 |