| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.00 | $37.00 | $37.00 | |
Sanford Health Plan
| Professional | $16.80 | $16.80 | $16.80 |
Unlisted Vaccine/Toxoid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.00 | $37.00 | $37.00 | |
Sanford Health Plan
| Professional | $16.80 | $16.80 | $16.80 |