| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.42 | $17.42 | $17.42 |
Midlands
| Facility | 26 | $54.98 | $54.98 | $54.98 |
Sanford Health Plan
| Professional | 26 | $21.83 | $28.94 | $32.99 |
Mammary ductogram or galactogram, single duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.42 | $17.42 | $17.42 |
Midlands
| Facility | 26 | $54.98 | $54.98 | $54.98 |
Sanford Health Plan
| Professional | 26 | $21.83 | $28.94 | $32.99 |