| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,986.00 | $4,975.00 | |
Kaiser Permanente
| Professional | $996.01 | $2,064.90 | $2,064.90 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |
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 | $1,017.00 | $2,986.00 | $4,975.00 | |
Kaiser Permanente
| Professional | $996.01 | $2,064.90 | $2,064.90 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |