| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.07 | $66.07 | $66.07 |
Well Sense
| Facility | 26 | $10.72 | $12.59 | $12.59 |
Mammary ductogram or galactogram, single duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.07 | $66.07 | $66.07 |
Well Sense
| Facility | 26 | $10.72 | $12.59 | $12.59 |