| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.24 | $22.24 | $78.61 | |
Aetna
| Professional | $13.81 | $22.46 | $22.46 | |
Moda Health
| Facility | $32.11 | $32.11 | $32.11 | |
Providence
| Facility | $32.11 | $32.11 | $32.11 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.24 | $22.24 | $78.61 | |
Aetna
| Professional | $13.81 | $22.46 | $22.46 | |
Moda Health
| Facility | $32.11 | $32.11 | $32.11 | |
Providence
| Facility | $32.11 | $32.11 | $32.11 |