| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.40 | $170.40 | $170.40 | |
Anthem BCBS
| Professional | $111.00 | $111.00 | $111.00 | |
Kaiser Permanente
| Professional | $118.00 | $118.00 | $118.00 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.40 | $170.40 | $170.40 | |
Anthem BCBS
| Professional | $111.00 | $111.00 | $111.00 | |
Kaiser Permanente
| Professional | $118.00 | $118.00 | $118.00 |