| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $1,690.00 | $13,785.00 | $16,128.00 |
Imm Admn Sarscov2 10mcg/0.2ml Tris-Sucrose Bst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $1,690.00 | $13,785.00 | $16,128.00 |