| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.47 | $176.47 | $176.47 | |
United
| Professional | $180.30 | $180.30 | $180.30 |
Injection Gonadorelin Hydrochloride Per 100 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.47 | $176.47 | $176.47 | |
United
| Professional | $180.30 | $180.30 | $180.30 |