| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $281.84 | $295.12 | |
Martin's Point
| Facility | $257.04 | $281.84 | $295.12 |
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 | $257.04 | $281.84 | $295.12 | |
Martin's Point
| Facility | $257.04 | $281.84 | $295.12 |