| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $70.79 | $70.79 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 | |
Sanford Health Plan
| Professional | $25.70 | $25.70 | $25.70 |
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 | $70.79 | $70.79 | $70.79 | |
Medica
| Facility | $0.02 | $0.02 | $0.02 | |
Sanford Health Plan
| Professional | $25.70 | $25.70 | $25.70 |