| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.00 | $164.00 | $164.00 | |
Midlands
| Professional | $41.94 | $41.94 | $41.94 |
Iiv4 Vacc Inactivated Prsrv Fr 0.25ml Dos Im Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.00 | $164.00 | $164.00 | |
Midlands
| Professional | $41.94 | $41.94 | $41.94 |