| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.95 | $881.95 | $8,500.00 | |
Medica
| Facility | $881.95 | $1,146.54 | $2,645.85 |
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 | $881.95 | $881.95 | $8,500.00 | |
Medica
| Facility | $881.95 | $1,146.54 | $2,645.85 |