| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.38 | $18.38 | $22.97 | |
Medcost
| Professional | $15.84 | $15.84 | $18.22 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Nortriptyline
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.38 | $18.38 | $22.97 | |
Medcost
| Professional | $15.84 | $15.84 | $18.22 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |