| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $128.82 | $354.81 | |
Aetna
| Professional | $33.11 | $38.02 | $52.48 | |
Cigna
| Facility | $40.74 | $50.12 | $131.83 | |
Cigna
| Professional | $27.54 | $54.95 | $77.62 | |
Regence BlueShield
| Facility | $47.86 | $173.78 | $251.19 | |
Regence BlueShield
| Professional | $32.36 | $40.74 | $42.66 | |
Select Health
| Professional | $33.11 | $47.86 | $151.36 | |
U of Utah Health Plan
| Professional | $41.69 | $47.86 | $85.11 | |
United
| Facility | $23.99 | $23.99 | $30.90 | |
United
| Professional | $19.95 | $24.55 | $28.84 |