| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $258.14 | $258.14 | $258.14 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Influenza virus vaccine (IIV), pandemic formulation, split virus, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $258.14 | $258.14 | $258.14 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |