| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.13 | $23.13 | $28.91 | |
Medcost
| Professional | $24.00 | $29.76 | $36.00 |
Methsuximide
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.13 | $23.13 | $28.91 | |
Medcost
| Professional | $24.00 | $29.76 | $36.00 |