| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $3,019.95 | $4,570.88 | |
Aetna
| Professional | $102.33 | $165.96 | $354.81 | |
Cigna
| Professional | $131.83 | $186.21 | $263.03 | |
Molina
| Professional | $32.36 | $33.11 | $213.80 | |
Regence BlueShield
| Facility | $575.44 | $676.08 | $1,584.89 | |
Regence BlueShield
| Professional | $131.83 | $199.53 | $302.00 | |
Select Health
| Professional | $134.90 | $199.53 | $309.03 | |
U of Utah Health Plan
| Professional | $144.54 | $218.78 | $302.00 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 | |
United
| Professional | $104.71 | $154.88 | $251.19 |