| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $144.54 | $173.78 | |
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Emblem Health
| Facility | $151.36 | $151.36 | $151.36 | |
Johns Hopkins Employer Health Plan
| Facility | $120.23 | $120.23 | $120.23 | |
Martin's Point
| Facility | $47.86 | $128.82 | $165.96 |