| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.38 | $21.38 | $26.92 | |
Medcost
| Professional | $33.88 | $33.88 | $33.88 |
Assay of phenothiazine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.38 | $21.38 | $26.92 | |
Medcost
| Professional | $33.88 | $33.88 | $33.88 |