| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.25 | $23.25 | $29.06 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Professional | $12.10 | $12.10 | $12.10 |
Desipramine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.25 | $23.25 | $29.06 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Professional | $12.10 | $12.10 | $12.10 |