| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.61 | $30.95 | |
Medica
| Facility | $15.09 | $24.02 | $100.00 |
Assay Of Phenothiazine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.37 | $24.61 | $30.95 | |
Medica
| Facility | $15.09 | $24.02 | $100.00 |