| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $30.90 | $41.69 | $48.98 | |
Molina
| Professional | $30.20 | $30.20 | $60.26 | |
Regence BlueShield
| Professional | $41.69 | $48.98 | $69.18 | |
U of Utah Health Plan
| Professional | $11.22 | $41.69 | $58.88 | |
United
| Professional | $39.81 | $43.65 | $72.44 |