| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.74 | $40.74 | $51.29 | |
Hally Health
| Professional | $57.54 | $151.36 | $151.36 | |
Medica
| Facility | $22.91 | $26.30 | $64.57 | |
Medica
| Professional | $21.88 | $28.84 | $38.90 |
Assay Of Phenothiazine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.74 | $40.74 | $51.29 | |
Hally Health
| Professional | $57.54 | $151.36 | $151.36 | |
Medica
| Facility | $22.91 | $26.30 | $64.57 | |
Medica
| Professional | $21.88 | $28.84 | $38.90 |