| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.54 | $27.54 | $27.54 | |
Martin's Point
| Professional | $27.54 | $27.54 | $27.54 |
Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.54 | $27.54 | $27.54 | |
Martin's Point
| Professional | $27.54 | $27.54 | $27.54 |