| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $14.14 | $19.05 | |
Aetna
| Professional | $13.81 | $14.14 | $16.57 | |
Medcost
| Facility | $14.14 | $14.14 | $14.99 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $14.14 | $19.05 | |
Aetna
| Professional | $13.81 | $14.14 | $16.57 | |
Medcost
| Facility | $14.14 | $14.14 | $14.99 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |