| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.39 | $87.68 | $147.79 |
Cigna
| Facility | 26 | $95.34 | $95.34 | $95.34 |
Medica
| Facility | 26 | $80.00 | $80.00 | $80.00 |
Midlands
| Facility | 26 | $53.43 | $54.98 | $95.34 |
Mammary ductogram or galactogram, single duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.39 | $87.68 | $147.79 |
Cigna
| Facility | 26 | $95.34 | $95.34 | $95.34 |
Medica
| Facility | 26 | $80.00 | $80.00 | $80.00 |
Midlands
| Facility | 26 | $53.43 | $54.98 | $95.34 |