| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.72 | $180.72 | $303.18 | |
United
| Professional | $171.29 | $180.30 | $187.51 |
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 | $180.72 | $180.72 | $303.18 | |
United
| Professional | $171.29 | $180.30 | $187.51 |