| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $42.77 | $42.77 | $42.77 | |
Hometown Health
| Professional | $48.27 | $48.27 | $190.00 |
Tetanus Toxoid Adsorbed Intramuscular
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $42.77 | $42.77 | $42.77 | |
Hometown Health
| Professional | $48.27 | $48.27 | $190.00 |