| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.08 | $54.08 | $54.08 | |
Aetna
| Professional | $13.31 | $13.31 | $14.14 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.08 | $54.08 | $54.08 | |
Aetna
| Professional | $13.31 | $13.31 | $14.14 |