| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $25.12 | $35.48 |
Cigna
| Facility | 26 | $47.86 | $54.95 | $83.18 |
Medica
| Facility | 26 | $79.43 | $79.43 | $79.43 |
Quartz
| Facility | 26 | $39.81 | $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 | $25.12 | $25.12 | $35.48 |
Cigna
| Facility | 26 | $47.86 | $54.95 | $83.18 |
Medica
| Facility | 26 | $79.43 | $79.43 | $79.43 |
Quartz
| Facility | 26 | $39.81 | $109.65 | $109.65 |