| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $53.70 | $53.70 | |
Aetna
| Professional | $38.90 | $53.70 | $63.10 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Facility | $165.96 | $194.98 | $426.58 | |
Regence BlueShield
| Professional | $57.54 | $70.79 | $91.20 | |
Select Health
| Professional | $41.69 | $51.29 | $64.57 | |
U of Utah Health Plan
| Professional | $61.66 | $69.18 | $81.28 | |
United
| Professional | $50.12 | $66.07 | $95.50 |