| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $162.18 | |
Aetna
| Professional | $125.89 | $162.18 | $263.03 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
United
| Professional | $162.18 | $190.55 | $239.88 |
Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $162.18 | |
Aetna
| Professional | $125.89 | $162.18 | $263.03 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
United
| Professional | $162.18 | $190.55 | $239.88 |