| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $15.75 | $15.75 | $19.69 | |
Medcost
| Professional | $15.58 | $15.58 | $15.58 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Barbiturates, not elsewhere specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $15.75 | $15.75 | $19.69 | |
Medcost
| Professional | $15.58 | $15.58 | $15.58 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |