| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $794.33 | $1,047.13 | |
Aetna
| Professional | $89.13 | $141.25 | $208.93 | |
Cigna
| Facility | $131.83 | $169.82 | $549.54 | |
Cigna
| Professional | $239.88 | $239.88 | $239.88 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Regence BlueShield
| Facility | $147.91 | $269.15 | $794.33 | |
Regence BlueShield
| Professional | $147.91 | $169.82 | $186.21 | |
Select Health
| Professional | $138.04 | $138.04 | $199.53 | |
U of Utah Health Plan
| Professional | $158.49 | $173.78 | $295.12 | |
United
| Professional | $63.10 | $69.18 | $120.23 |