| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $455.76 | $756.67 | $1,200.00 | |
CareSource
| Facility | $510.79 | $638.44 | $878.99 | |
Cigna
| Facility | $819.04 | $819.04 | $819.04 |
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 | $455.76 | $756.67 | $1,200.00 | |
CareSource
| Facility | $510.79 | $638.44 | $878.99 | |
Cigna
| Facility | $819.04 | $819.04 | $819.04 |