| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.03 | $150.94 | $1,400.00 | |
CareSource
| Facility | $80.11 | $88.68 | $128.31 | |
Cigna
| Facility | $128.44 | $128.44 | $128.44 |
Injection procedure only for mammary ductogram or galactogram
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.03 | $150.94 | $1,400.00 | |
CareSource
| Facility | $80.11 | $88.68 | $128.31 | |
Cigna
| Facility | $128.44 | $128.44 | $128.44 |