| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $4,651.51 | $4,651.51 | $4,651.51 |
Influenza virus vaccine (IIV), pandemic formulation, split virus, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $4,651.51 | $4,651.51 | $4,651.51 |