| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.48 | $13.48 | $26.83 | |
Aetna
| Professional | $13.48 | $13.48 | $13.48 | |
BCBS
| Facility | $0.20 | $0.32 | $0.51 | |
Medica
| Facility | $12.13 | $14.15 | $100.00 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.48 | $13.48 | $26.83 | |
Aetna
| Professional | $13.48 | $13.48 | $13.48 | |
BCBS
| Facility | $0.20 | $0.32 | $0.51 | |
Medica
| Facility | $12.13 | $14.15 | $100.00 |