| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $829.91 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $1,102.34 | $1,808.90 | $1,808.90 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
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 | $829.91 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $1,102.34 | $1,808.90 | $1,808.90 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |