| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $23.99 | $36.31 | $61.66 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 |
Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $23.99 | $36.31 | $61.66 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 |