| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $24.55 | $30.20 | |
Medcost
| Facility | $10.72 | $16.22 | $36.31 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Assay Of Phenothiazine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $24.55 | $30.20 | |
Medcost
| Facility | $10.72 | $16.22 | $36.31 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |