| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,678.89 | $4,971.34 | $4,971.34 | |
Cigna
| Professional | $4,971.34 | $4,971.34 | $4,971.34 | |
United
| Professional | $4,678.89 | $5,166.29 | $7,310.79 |
Histrelin implant (Vantas), 50 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,678.89 | $4,971.34 | $4,971.34 | |
Cigna
| Professional | $4,971.34 | $4,971.34 | $4,971.34 | |
United
| Professional | $4,678.89 | $5,166.29 | $7,310.79 |