| 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 | $15.26 | $30.65 | $30.65 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Antipsychotics Not Otherwise Specified 4-6
| 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 | $15.26 | $30.65 | $30.65 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |