| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $851.14 | $1,096.48 | |
Aetna
| Professional | $95.50 | $158.49 | $218.78 | |
Cigna
| Facility | $147.91 | $154.88 | $478.63 | |
Cigna
| Professional | $208.93 | $208.93 | $208.93 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Regence BlueShield
| Facility | $173.78 | $316.23 | $831.76 | |
Regence BlueShield
| Professional | $147.91 | $165.96 | $199.53 | |
Select Health
| Professional | $123.03 | $123.03 | $173.78 | |
U of Utah Health Plan
| Professional | $138.04 | $154.88 | $263.03 | |
United
| Professional | $74.13 | $74.13 | $104.71 |