| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 |
Antiepileptics Not Otherwise Specified 7/More
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 |