| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $1,202.26 | $1,548.82 | |
Aetna
| Professional | $147.91 | $194.98 | $263.03 | |
Cigna
| Facility | $208.93 | $218.78 | $676.08 | |
Cigna
| Professional | $29.51 | $30.90 | $354.81 | |
Regence BlueShield
| Facility | $208.93 | $295.12 | $1,148.15 | |
Regence BlueShield
| Professional | $169.82 | $208.93 | $223.87 | |
Select Health
| Professional | $173.78 | $245.47 | $707.95 | |
U of Utah Health Plan
| Professional | $194.98 | $218.78 | $371.54 | |
United
| Facility | $123.03 | $123.03 | $162.18 | |
United
| Professional | $104.71 | $104.71 | $199.53 |