| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.14 | $23.44 | $58.88 |
Cigna
| Facility | 26 | $4.17 | $19.50 | $27.54 |
Medcost
| Professional | 26 | $31.62 | $31.62 | $31.62 |
Wellcare
| Facility | 26 | $109.65 | $109.65 | $109.65 |
Mammary ductogram or galactogram, single duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.14 | $23.44 | $58.88 |
Cigna
| Facility | 26 | $4.17 | $19.50 | $27.54 |
Medcost
| Professional | 26 | $31.62 | $31.62 | $31.62 |
Wellcare
| Facility | 26 | $109.65 | $109.65 | $109.65 |