| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.59 | $81.59 | $81.59 | |
Aetna
| Professional | $79.68 | $79.68 | $81.59 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Inj., Susvimo, 0.1 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.59 | $81.59 | $81.59 | |
Aetna
| Professional | $79.68 | $79.68 | $81.59 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |