| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.54 | $57.77 | $66.95 | |
Moda Health
| Facility | $26.73 | $57.77 | $66.44 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |
Trigeminal Division Block Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.54 | $57.77 | $66.95 | |
Moda Health
| Facility | $26.73 | $57.77 | $66.44 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |