| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Professional | $9.65 | $9.65 | $10.85 | |
Wellpoint
| Professional | $0.76 | $0.76 | $0.76 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Professional | $9.65 | $9.65 | $10.85 | |
Wellpoint
| Professional | $0.76 | $0.76 | $0.76 |