| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $14.14 | $14.14 | |
Aetna
| Professional | $13.64 | $14.14 | $23.52 | |
BCBS
| Facility | $208.60 | $253.15 | $340.57 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $14.14 | $14.14 | |
Aetna
| Professional | $13.64 | $14.14 | $23.52 | |
BCBS
| Facility | $208.60 | $253.15 | $340.57 |