| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $80.75 | $80.75 | $80.75 | |
Medica
| Facility | $4.96 | $4.96 | $4.96 |
Influenza virus vaccine, live (LAIV), pandemic formulation, for intranasal use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $80.75 | $80.75 | $80.75 | |
Medica
| Facility | $4.96 | $4.96 | $4.96 |