| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,285.81 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |
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 | $1,285.81 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |