| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $21.44 | $53.10 | $55.03 | |
Medica
| Professional | $60.55 | $60.55 | $60.55 |
Tetanus Toxoid Adsorbed Intramuscular
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $21.44 | $53.10 | $55.03 | |
Medica
| Professional | $60.55 | $60.55 | $60.55 |