| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $724.44 | $954.99 | |
Aetna
| Professional | $81.28 | $114.82 | $190.55 | |
Cigna
| Facility | $104.71 | $107.15 | $338.84 | |
Cigna
| Professional | $64.57 | $144.54 | $223.87 | |
Regence BlueShield
| Facility | $123.03 | $446.68 | $645.65 | |
Regence BlueShield
| Professional | $104.71 | $123.03 | $169.82 | |
Select Health
| Professional | $85.11 | $85.11 | $123.03 | |
U of Utah Health Plan
| Professional | $97.72 | $107.15 | $181.97 | |
United
| Professional | $51.29 | $63.10 | $74.13 |