| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $64.57 | $70.79 | |
Health Alliance Plan
| Professional | $100.00 | $100.00 | $100.00 |
Influenza virus vaccine, live (LAIV), pandemic formulation, for intranasal use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $64.57 | $70.79 | |
Health Alliance Plan
| Professional | $100.00 | $100.00 | $100.00 |