| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $49.56 | $49.56 | $49.56 |
Imm Admn Sarscov2 30mcg/0.3ml Tris-Sucrose 2nd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $85.00 | $90.00 | $90.00 | |
Moda Health
| Facility | $49.56 | $49.56 | $49.56 |