| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.10 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $60.47 | $128.28 | $245.01 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |
Injection procedure only for mammary ductogram or galactogram
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.10 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $60.47 | $128.28 | $245.01 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |