| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $107.15 | $316.23 | |
Aetna
| Professional | $72.44 | $97.72 | $371.54 | |
Cigna
| Professional | $91.20 | $120.23 | $186.21 | |
Molina
| Professional | $32.36 | $33.11 | $89.13 | |
Regence BlueShield
| Professional | $123.03 | $165.96 | $199.53 | |
Select Health
| Professional | $85.11 | $134.90 | $199.53 | |
U of Utah Health Plan
| Professional | $56.23 | $77.62 | $158.49 | |
United
| Professional | $89.13 | $97.72 | $165.96 |