| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.85 | $30.20 | $52.48 |
Hally Health
| Professional | 26 | $19.05 | $26.30 | $158.49 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Mammary ductogram or galactogram, single duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.85 | $30.20 | $52.48 |
Hally Health
| Professional | 26 | $19.05 | $26.30 | $158.49 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |