| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,047.13 | $1,047.13 | $6,456.54 | |
Providence
| Facility | $1,047.13 | $1,202.26 | $6,456.54 |
Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,047.13 | $1,047.13 | $6,456.54 | |
Providence
| Facility | $1,047.13 | $1,202.26 | $6,456.54 |