| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $5,623.41 | $10,964.78 | |
Horizon BCBS
| Facility | $3,981.07 | $6,309.57 | $10,000.00 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |
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 | $2,290.87 | $5,623.41 | $10,964.78 | |
Horizon BCBS
| Facility | $3,981.07 | $6,309.57 | $10,000.00 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |