| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.48 | $19.04 | $28.99 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Medcost
| Facility | 26 | $19.98 | $28.03 | $48.07 |
Wellcare
| Facility | 26 | $49.08 | $83.60 | $83.60 |
Mammary ductogram or galactogram, single duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.48 | $19.04 | $28.99 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Medcost
| Facility | 26 | $19.98 | $28.03 | $48.07 |
Wellcare
| Facility | 26 | $49.08 | $83.60 | $83.60 |