| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.38 | $18.38 | $22.97 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $22.13 | $36.88 | $36.88 |
Nortriptyline
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.38 | $18.38 | $22.97 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $22.13 | $36.88 | $36.88 |