| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,124.19 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $514.28 | $2,238.48 | $4,912.78 | |
Providence
| Facility | $594.16 | $2,462.34 | $4,912.78 |
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,124.19 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $514.28 | $2,238.48 | $4,912.78 | |
Providence
| Facility | $594.16 | $2,462.34 | $4,912.78 |