| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.82 | $21.58 | $39.11 |
Medica
| Facility | 26 | $40.32 | $40.32 | $80.00 |
Mammary ductogram or galactogram, single duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.82 | $21.58 | $39.11 |
Medica
| Facility | 26 | $40.32 | $40.32 | $80.00 |