| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $884.89 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $774.09 | $1,574.90 | $1,817.60 | |
United
| Facility | $3,085.00 | $5,060.00 | $17,636.00 |
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 | $884.89 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $774.09 | $1,574.90 | $1,817.60 | |
United
| Facility | $3,085.00 | $5,060.00 | $17,636.00 |