| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $26.32 | $65.76 | $202.93 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Preventive Care Services-Vaccine Administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $26.32 | $65.76 | $202.93 | |
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |