| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.81 | $26.24 | $36.54 | |
Aetna
| Professional | $13.81 | $13.81 | $14.14 | |
Anthem BCBS
| Professional | $0.10 | $34.11 | $225.00 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.81 | $26.24 | $36.54 | |
Aetna
| Professional | $13.81 | $13.81 | $14.14 | |
Anthem BCBS
| Professional | $0.10 | $34.11 | $225.00 |