| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.88 | $21.88 | $27.54 | |
Medcost
| Facility | $6.17 | $6.17 | $14.79 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Antiepileptics, not otherwise specified; 7 or more
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.88 | $21.88 | $27.54 | |
Medcost
| Facility | $6.17 | $6.17 | $14.79 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |