| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.85 | $1.00 | $1.00 | |
Cigna
| Professional | $42.00 | $42.00 | $42.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.85 | $1.00 | $1.00 | |
Cigna
| Professional | $42.00 | $42.00 | $42.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |