| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.00 | $123.00 | $123.00 |
Influenza virus vaccine, live (LAIV), pandemic formulation, for intranasal use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.00 | $123.00 | $123.00 |