| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.38 | $24.62 | $30.47 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |
Amitriptyline
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.38 | $24.62 | $30.47 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 |