| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.14 | $61.14 | $61.14 | |
Aetna
| Professional | $40.88 | $58.59 | $64.79 | |
Medcost
| Facility | $23.00 | $37.20 | $83.63 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Trigeminal Division Block Anesthesia
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.14 | $61.14 | $61.14 | |
Aetna
| Professional | $40.88 | $58.59 | $64.79 | |
Medcost
| Facility | $23.00 | $37.20 | $83.63 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |