| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $588.84 | $588.84 | |
Aetna
| Professional | $131.83 | $229.09 | $436.52 | |
Cigna
| Facility | $251.19 | $257.04 | $794.33 | |
Cigna
| Professional | $257.04 | $316.23 | $537.03 | |
Regence BlueShield
| Facility | $288.40 | $870.96 | $1,380.38 | |
Regence BlueShield
| Professional | $245.47 | $288.40 | $371.54 | |
Select Health
| Professional | $204.17 | $204.17 | $288.40 | |
U of Utah Health Plan
| Professional | $229.09 | $257.04 | $436.52 | |
United
| Professional | $123.03 | $123.03 | $173.78 |