| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.57 | $64.57 | $64.57 |
Aetna
| Professional | $117.49 | $134.90 | $245.47 | |
Cigna
| Professional | $128.82 | $158.49 | $239.88 | |
Molina
| Professional | $32.36 | $33.11 | $223.87 | |
Regence BlueShield
| Professional | $165.96 | $218.78 | $269.15 | |
Select Health
| Professional | $107.15 | $173.78 | $263.03 | |
U of Utah Health Plan
| Professional | $77.62 | $100.00 | $204.17 | |
United
| Professional | $117.49 | $125.89 | $229.09 |