| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $24.55 | $30.20 | |
Moda Health
| Facility | $12.88 | $17.38 | $28.84 |
Assay Of Phenothiazine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $24.55 | $30.20 | |
Moda Health
| Facility | $12.88 | $17.38 | $28.84 |