| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.54 | $14.54 | $14.54 |
Medcost
| Facility | 26 | $23.27 | $31.08 | $53.34 |
Mammary Ductogram Or Galactogram Single
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.54 | $14.54 | $14.54 |
Medcost
| Facility | 26 | $23.27 | $31.08 | $53.34 |