| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.25 | $23.25 | $29.06 | |
Medcost
| Professional | $23.42 | $23.42 | $23.42 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Desipramine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.25 | $23.25 | $29.06 | |
Medcost
| Professional | $23.42 | $23.42 | $23.42 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |