| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.54 | $27.54 | $109.65 | |
Molina
| Professional | $50.12 | $54.95 | $85.11 | |
Security Health
| Professional | $21.38 | $21.38 | $39.81 |
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 | $109.65 | |
Molina
| Professional | $50.12 | $54.95 | $85.11 | |
Security Health
| Professional | $21.38 | $21.38 | $39.81 |