| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.76 | $0.88 | $0.88 | |
Well Sense
| Professional | $2,500.00 | $2,920.00 | $4,735.00 |
Adenovirus Vaccine Type 4 Live Oral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.76 | $0.88 | $0.88 | |
Well Sense
| Professional | $2,500.00 | $2,920.00 | $4,735.00 |