| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.00 | $84.00 | $84.00 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 | |
Sanford Health Plan
| Professional | $26.00 | $26.00 | $26.00 |
Laiv Vaccine Pandemic Formula For Intranasal Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.00 | $84.00 | $84.00 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 | |
Sanford Health Plan
| Professional | $26.00 | $26.00 | $26.00 |