| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $695.86 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $2,904.80 | $3,669.11 | $5,334.93 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |
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 | $695.86 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $2,904.80 | $3,669.11 | $5,334.93 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |