| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,226.97 | $4,387.00 | $8,133.00 | |
Regence BlueShield
| Facility | $2,904.80 | $3,669.11 | $5,334.93 | |
United
| Facility | $871.00 | $4,455.00 | $7,048.00 |
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 | $1,226.97 | $4,387.00 | $8,133.00 | |
Regence BlueShield
| Facility | $2,904.80 | $3,669.11 | $5,334.93 | |
United
| Facility | $871.00 | $4,455.00 | $7,048.00 |