| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.73 | $35.72 | $35.72 |
Cigna
| Facility | 26 | $47.84 | $54.36 | $69.98 |
Medica
| Facility | 26 | $80.00 | $80.00 | $80.00 |
Quartz
| Facility | 26 | $40.88 | $80.00 | $80.00 |
Mammary Ductogram Or Galactogram Single
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.73 | $35.72 | $35.72 |
Cigna
| Facility | 26 | $47.84 | $54.36 | $69.98 |
Medica
| Facility | 26 | $80.00 | $80.00 | $80.00 |
Quartz
| Facility | 26 | $40.88 | $80.00 | $80.00 |