| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $93.33 | |
Aetna
| Professional | $43.65 | $72.44 | $107.15 | |
Cigna
| Professional | $21.88 | $22.91 | $27.54 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Professional | $57.54 | $107.15 | $144.54 | |
Select Health
| Professional | $44.67 | $67.61 | $104.71 | |
U of Utah Health Plan
| Professional | $53.70 | $66.07 | $69.18 | |
United
| Professional | $69.18 | $107.15 | $181.97 |