| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $38.02 | $38.02 | |
Sanford Health Plan
| Professional | $16.98 | $16.98 | $16.98 |
Unlisted vaccine/toxoid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $38.02 | $38.02 | |
Sanford Health Plan
| Professional | $16.98 | $16.98 | $16.98 |