| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $146.08 | $190.59 | $371.64 | |
Medica
| Facility | $0.03 | $0.03 | $0.03 |
Unlisted Vaccine/Toxoid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $146.08 | $190.59 | $371.64 | |
Medica
| Facility | $0.03 | $0.03 | $0.03 |