| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.74 | $0.88 | $1.19 | |
Kaiser Permanente
| Professional | $146.00 | $156.00 | $156.00 |
Adenovirus Vaccine Type 4 Live Oral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.74 | $0.88 | $1.19 | |
Kaiser Permanente
| Professional | $146.00 | $156.00 | $156.00 |