| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $30.90 | $40.74 | $50.12 | |
Cigna
| Facility | $112.20 | $138.04 | $436.52 | |
Molina
| Professional | $44.67 | $44.67 | $60.26 | |
Regence BlueShield
| Facility | $181.97 | $213.80 | $457.09 | |
Regence BlueShield
| Professional | $33.11 | $57.54 | $64.57 | |
U of Utah Health Plan
| Professional | $36.31 | $38.90 | $44.67 | |
United
| Professional | $40.74 | $44.67 | $75.86 |