| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,035.68 | $4,043.45 | $5,782.13 | |
Providence
| Facility | $1,035.68 | $4,043.45 | $5,782.13 |
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,035.68 | $4,043.45 | $5,782.13 | |
Providence
| Facility | $1,035.68 | $4,043.45 | $5,782.13 |