| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.00 | $206.00 | $206.00 | |
BCBS
| Facility | $548.50 | $837.10 | $1,517.84 |
Adenovirus Vaccine Type 4 Live Oral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.00 | $206.00 | $206.00 | |
BCBS
| Facility | $548.50 | $837.10 | $1,517.84 |