| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.06 | $0.06 | |
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
Medcost
| Facility | $6.13 | $6.13 | $14.92 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Antiepileptics Not Otherwise Specified 7/More
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.06 | $0.06 | |
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
Medcost
| Facility | $6.13 | $6.13 | $14.92 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |