The medical equipment is quite expensive at several hundred dollars, therefore most transactions are one time sales with limited repeat customers.
When I first started, I was only selling three or four a month. Now I am selling around 30-40 per month. However these sales are fairly static and I believe it can sell much more considering how successful it is in its home market. I am getting 600 hits per day on the site, and even if 1% converted that would be a huge increase. Customer satisfaction is high, but the number one complaint is that it is too expensive. I can't drop the permanent price at this point. I was thinking about offering free shipping, but the only way I could do that is by increasing the base price of the product which also wouldn't be attractive.
However, I'm not really sure how to get over this hump. Since the product is so niche, I feel like a lot of typical marketing tips are inapplicable. I am using Google Ads, Google Shopping, Facebook Automated Ads, Amazon Marketing, mailing lists, coupons, etc., and while those have certainly helped, none have really led to a breakthrough. Obviously I don't expect to triple sales overnight, but I feel like I am missing something.
Any general suggestions about how to improve conversions?