| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.72 | $78.72 | $78.72 | |
Aetna
| Professional | $78.72 | $78.72 | $81.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Inj., Susvimo, 0.1 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.72 | $78.72 | $78.72 | |
Aetna
| Professional | $78.72 | $78.72 | $81.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |