| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $17.72 | $17.72 | $19.50 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |
Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $17.72 | $17.72 | $19.50 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |