| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Medcost
| Facility | $9.84 | $10.19 | $10.19 | |
Medcost
| Professional | $9.84 | $29.00 | $29.00 |
Barbiturates Not Elsewhere Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Medcost
| Facility | $9.84 | $10.19 | $10.19 | |
Medcost
| Professional | $9.84 | $29.00 | $29.00 |