| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.13 | |
Aetna
| Professional | $14.13 | $28.18 | $33.11 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Professional | $19.50 | $34.67 | $53.70 | |
Select Health
| Professional | $1.20 | $1.20 | $1.20 | |
U of Utah Health Plan
| Professional | $38.90 | $40.74 | $47.86 | |
United
| Professional | $2.63 | $18.20 | $33.88 |