| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.36 | $30.28 | $40.54 |
Hally Health
| Professional | 26 | $19.05 | $26.51 | $127.33 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Mammary Ductogram Or Galactogram Single
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.36 | $30.28 | $40.54 |
Hally Health
| Professional | 26 | $19.05 | $26.51 | $127.33 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |