| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $112.20 | |
Aetna
| Professional | $42.66 | $81.28 | $123.03 | |
Molina
| Professional | $30.20 | $30.20 | $60.26 | |
Regence BlueShield
| Facility | $436.52 | $512.86 | $1,174.90 | |
Regence BlueShield
| Professional | $57.54 | $63.10 | $151.36 | |
Select Health
| Professional | $6.76 | $7.94 | $9.55 | |
U of Utah Health Plan
| Professional | $56.23 | $66.07 | $75.86 | |
United
| Professional | $26.30 | $117.49 | $128.82 |