| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.32 | $20.32 | $21.34 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Health Alliance Plan
| Facility | 26 | $13.43 | $13.43 | $20.32 |
Mammary Ductogram Or Galactogram Single
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.32 | $20.32 | $21.34 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Health Alliance Plan
| Facility | 26 | $13.43 | $13.43 | $20.32 |