| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $245.47 | $645.65 | |
Aetna
| Professional | $40.74 | $57.54 | $67.61 | |
Cigna
| Facility | $53.70 | $54.95 | $169.82 | |
Cigna
| Professional | $30.90 | $39.81 | $102.33 | |
Regence BlueShield
| Facility | $61.66 | $223.87 | $309.03 | |
Regence BlueShield
| Professional | $42.66 | $52.48 | $56.23 | |
Select Health
| Professional | $43.65 | $61.66 | $64.57 | |
U of Utah Health Plan
| Professional | $48.98 | $54.95 | $93.33 | |
United
| Facility | $30.90 | $30.90 | $40.74 | |
United
| Professional | $26.30 | $33.88 | $64.57 |