| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.89 | $21.89 | $27.36 | |
MVP Health Care
| Professional | $21.89 | $27.20 | $27.36 |
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 | |
MVP Health Care
| Professional | $21.89 | $27.20 | $27.36 |