| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $169.82 | $223.87 | |
Aetna
| Professional | $19.05 | $30.90 | $43.65 | |
Cigna
| Facility | $30.20 | $30.90 | $97.72 | |
Cigna
| Professional | $41.69 | $41.69 | $41.69 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Regence BlueShield
| Facility | $29.51 | $41.69 | $162.18 | |
Regence BlueShield
| Professional | $29.51 | $32.36 | $39.81 | |
Select Health
| Professional | $24.55 | $24.55 | $35.48 | |
U of Utah Health Plan
| Professional | $27.54 | $30.90 | $52.48 | |
United
| Professional | $14.79 | $14.79 | $20.89 |