| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.64 | $16.64 | $23.30 | |
Aetna
| Professional | $16.64 | $16.64 | $16.64 | |
United
| Professional | $3.26 | $3.26 | $3.32 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.64 | $16.64 | $23.30 | |
Aetna
| Professional | $16.64 | $16.64 | $16.64 | |
United
| Professional | $3.26 | $3.26 | $3.32 |