| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.67 | $65.67 | $65.67 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
United
| Professional | $77.26 | $77.26 | $110.10 |
Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.67 | $65.67 | $65.67 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
United
| Professional | $77.26 | $77.26 | $110.10 |