| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $247.11 | $280.77 | $296.52 | |
Medcost
| Facility | $125.73 | $125.73 | $125.73 | |
Wellcare
| Facility | $125.15 | $159.66 | $286.44 |
Pneumococcal Vacc, Ped <5
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $247.11 | $280.77 | $296.52 | |
Medcost
| Facility | $125.73 | $125.73 | $125.73 | |
Wellcare
| Facility | $125.15 | $159.66 | $286.44 |