| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $28.14 | $28.14 | $28.14 |
Imm Admn Sarscov2 Ad26 5x1010 Vp/0.5 Ml 1 Dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $28.14 | $28.14 | $28.14 |