| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.84 | $36.85 | $197.63 | |
Aetna
| Professional | $36.85 | $36.85 | $38.72 | |
Cigna
| Professional | $37.74 | $37.74 | $37.74 | |
United
| Professional | $37.00 | $37.00 | $37.00 |
Injection Sumatriptan Succinate 6 Mg (Code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician Not For Use When Drug Is Self Administered) (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.84 | $36.85 | $197.63 | |
Aetna
| Professional | $36.85 | $36.85 | $38.72 | |
Cigna
| Professional | $37.74 | $37.74 | $37.74 | |
United
| Professional | $37.00 | $37.00 | $37.00 |