| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $1,100.00 | $2,250.00 | |
BCBS
| Facility | $1,548.13 | $1,874.14 | $2,521.32 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |
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 | $575.00 | $1,100.00 | $2,250.00 | |
BCBS
| Facility | $1,548.13 | $1,874.14 | $2,521.32 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |