| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.56 | $764.47 | $2,000.00 | |
Medica
| Facility | $464.56 | $764.47 | $1,268.85 |
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 | $464.56 | $764.47 | $2,000.00 | |
Medica
| Facility | $464.56 | $764.47 | $1,268.85 |