| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.81 | $17.95 | $27.34 | |
Aetna
| Professional | $13.31 | $13.81 | $13.81 | |
Lucent Health
| 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 | $13.81 | $17.95 | $27.34 | |
Aetna
| Professional | $13.31 | $13.81 | $13.81 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |