| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.01 | $40.01 | $50.02 | |
Medica
| Facility | $63.68 | $63.68 | $63.68 | |
Midlands
| Facility | $63.68 | $63.68 | $63.68 | |
Midlands
| Professional | $63.68 | $63.68 | $63.68 |
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, DNA, spike protein, adenovirus type 26 (Ad26) vector, preservative free, 5x1010 viral particles/0.5mL dosage; booster dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.01 | $40.01 | $50.02 | |
Medica
| Facility | $63.68 | $63.68 | $63.68 | |
Midlands
| Facility | $63.68 | $63.68 | $63.68 | |
Midlands
| Professional | $63.68 | $63.68 | $63.68 |