| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.00 | $123.00 | $123.00 | |
Health Alliance Plan
| Professional | $119.00 | $119.00 | $119.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Iiv4 Vacc Inactivated Prsrv Fr 0.25ml Dos Im Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.00 | $123.00 | $123.00 | |
Health Alliance Plan
| Professional | $119.00 | $119.00 | $119.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |