| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $100.00 | $245.47 | |
Cigna
| Professional | $63.10 | $102.33 | $158.49 | |
Molina
| Professional | $32.36 | $33.11 | $141.25 | |
Regence BlueShield
| Professional | $131.83 | $144.54 | $154.88 | |
Select Health
| Professional | $83.18 | $144.54 | $177.83 | |
U of Utah Health Plan
| Professional | $107.15 | $144.54 | $194.98 | |
United
| Professional | $58.88 | $100.00 | $158.49 |