| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Cigna
| Facility | $1,014.78 | $1,014.78 | $1,014.78 | |
United
| Facility | $1,485.00 | $1,485.00 | $1,485.00 |
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 | $3,140.00 | $3,140.00 | $6,907.00 | |
Cigna
| Facility | $1,014.78 | $1,014.78 | $1,014.78 | |
United
| Facility | $1,485.00 | $1,485.00 | $1,485.00 |