| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $134.90 | $154.88 | |
Aetna
| Professional | $52.48 | $66.07 | $147.91 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
United
| Professional | $63.10 | $74.13 | $95.50 |
Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $134.90 | $154.88 | |
Aetna
| Professional | $52.48 | $66.07 | $147.91 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
United
| Professional | $63.10 | $74.13 | $95.50 |