| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $33.11 | $38.02 | |
Health Alliance Plan
| Facility | $380.19 | $933.25 | $1,047.13 | |
Health Alliance Plan
| Professional | $354.81 | $398.11 | $501.19 |
Unlisted vaccine/toxoid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $33.11 | $38.02 | |
Health Alliance Plan
| Facility | $380.19 | $933.25 | $1,047.13 | |
Health Alliance Plan
| Professional | $354.81 | $398.11 | $501.19 |