| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $17.78 | $17.78 | $17.78 | |
Molina
| Professional | $39.81 | $50.12 | $50.12 | |
United
| Professional | $19.95 | $19.95 | $21.38 |
Injection, alatrofloxacin mesylate, 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $17.78 | $17.78 | $17.78 | |
Molina
| Professional | $39.81 | $50.12 | $50.12 | |
United
| Professional | $19.95 | $19.95 | $21.38 |