| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $18.20 | $18.20 | $18.20 | |
Providence
| Facility | $15.49 | $15.85 | $20.89 | |
United
| Professional | $19.95 | $19.95 | $19.95 |
Injection, alatrofloxacin mesylate, 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $18.20 | $18.20 | $18.20 | |
Providence
| Facility | $15.49 | $15.85 | $20.89 | |
United
| Professional | $19.95 | $19.95 | $19.95 |