| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $302.00 | $398.11 | |
Aetna
| Professional | $37.15 | $48.98 | $64.57 | |
Cigna
| Facility | $53.70 | $54.95 | $169.82 | |
Cigna
| Professional | $70.79 | $87.10 | $95.50 | |
Regence BlueShield
| Facility | $52.48 | $61.66 | $288.40 | |
Regence BlueShield
| Professional | $42.66 | $52.48 | $56.23 | |
Select Health
| Professional | $43.65 | $61.66 | $177.83 | |
U of Utah Health Plan
| Professional | $48.98 | $54.95 | $93.33 | |
United
| Facility | $30.90 | $30.90 | $40.74 | |
United
| Professional | $26.30 | $26.30 | $50.12 |