| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,650.40 | $1,650.40 | $1,650.40 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $1,650.40 | $1,650.40 | $1,650.40 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |