| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.88 | $21.88 | $27.54 | |
Medcost
| Facility | $15.14 | $15.14 | $30.90 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Antipsychotics, not otherwise specified; 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.88 | $21.88 | $27.54 | |
Medcost
| Facility | $15.14 | $15.14 | $30.90 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |