| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,047.13 | $1,288.25 | $2,754.23 | |
Cigna
| Professional | $1,071.52 | $1,412.54 | $2,454.71 | |
United
| Professional | $1,148.15 | $1,513.56 | $4,466.84 |
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,047.13 | $1,288.25 | $2,754.23 | |
Cigna
| Professional | $1,071.52 | $1,412.54 | $2,454.71 | |
United
| Professional | $1,148.15 | $1,513.56 | $4,466.84 |