| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.14 | $14.14 | $23.73 | |
United
| Professional | $7.29 | $7.29 | $7.29 |
Injection, tetracycline, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.14 | $14.14 | $23.73 | |
United
| Professional | $7.29 | $7.29 | $7.29 |