| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,116.84 | $6,064.00 | $10,871.00 | |
Horizon BCBS
| Facility | $4,747.57 | $4,747.57 | $10,295.07 | |
United
| Facility | $2,300.00 | $5,803.00 | $10,334.00 |
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 | $1,116.84 | $6,064.00 | $10,871.00 | |
Horizon BCBS
| Facility | $4,747.57 | $4,747.57 | $10,295.07 | |
United
| Facility | $2,300.00 | $5,803.00 | $10,334.00 |