| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $100.13 | $100.13 | $125.16 | |
Midlands
| Professional | $105.17 | $105.17 | $181.99 | |
Sanford Health Plan
| Professional | $125.00 | $125.00 | $125.00 |
Pneumococcal Vacc, Ped <5
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $100.13 | $100.13 | $125.16 | |
Midlands
| Professional | $105.17 | $105.17 | $181.99 | |
Sanford Health Plan
| Professional | $125.00 | $125.00 | $125.00 |