| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.16 | $67.16 | $67.16 | |
Aetna
| Professional | $67.16 | $67.16 | $67.16 | |
Cigna
| Professional | $74.02 | $74.02 | $74.02 | |
United
| Professional | $62.79 | $74.68 | $79.31 |
Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.16 | $67.16 | $67.16 | |
Aetna
| Professional | $67.16 | $67.16 | $67.16 | |
Cigna
| Professional | $74.02 | $74.02 | $74.02 | |
United
| Professional | $62.79 | $74.68 | $79.31 |