| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $977.24 | $1,047.13 | $1,318.26 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
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 | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $977.24 | $1,047.13 | $1,318.26 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |