| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $50.46 | $58.97 | $90.46 | |
Cigna
| Professional | $21.00 | $21.63 | $26.25 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |
Doxepin
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $50.46 | $58.97 | $90.46 | |
Cigna
| Professional | $21.00 | $21.63 | $26.25 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |