| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |
Antipsychotics Not Otherwise Specified 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |