| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $848.69 | $848.69 | $1,400.00 | |
CareSource
| Facility | $1,305.45 | $1,305.45 | $1,672.16 | |
Cigna
| Facility | $1,381.88 | $1,381.88 | $1,381.88 |
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 | $848.69 | $848.69 | $1,400.00 | |
CareSource
| Facility | $1,305.45 | $1,305.45 | $1,672.16 | |
Cigna
| Facility | $1,381.88 | $1,381.88 | $1,381.88 |