| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $5,495.41 | $9,549.93 | |
Anthem BCBS
| Facility | $3,715.35 | $4,168.69 | $12,022.64 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |
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 | $3,162.28 | $5,495.41 | $9,549.93 | |
Anthem BCBS
| Facility | $3,715.35 | $4,168.69 | $12,022.64 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |