| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $24.01 | $33.17 | $67.58 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 |
Influenza virus vaccine, live (LAIV), pandemic formulation, for intranasal use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $24.01 | $33.17 | $67.58 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 |