| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.37 | $30.46 | |
Moda Health
| Facility | $13.87 | $13.87 | $13.87 | |
Providence
| Facility | $13.87 | $13.87 | $13.87 |
Assay Of Phenothiazine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.37 | $30.46 | |
Moda Health
| Facility | $13.87 | $13.87 | $13.87 | |
Providence
| Facility | $13.87 | $13.87 | $13.87 |