| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $143.16 | $172.84 | |
Capital Blue Cross
| Facility | $5,000.00 | $8,639.91 | $79,506.39 | |
Emblem Health
| Facility | $150.00 | $150.00 | $150.00 | |
Johns Hopkins Employer Health Plan
| Facility | $120.00 | $120.00 | $120.00 | |
Martin's Point
| Facility | $48.00 | $130.00 | $160.28 |