| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $660.69 | $870.96 | |
Aetna
| Professional | $38.90 | $109.65 | $269.15 | |
Cigna
| Facility | $117.49 | $120.23 | $380.19 | |
Cigna
| Professional | $63.10 | $147.91 | $251.19 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Regence BlueShield
| Facility | $138.04 | $407.38 | $645.65 | |
Regence BlueShield
| Professional | $117.49 | $131.83 | $154.88 | |
Select Health
| Professional | $95.50 | $95.50 | $138.04 | |
U of Utah Health Plan
| Professional | $109.65 | $120.23 | $204.17 | |
United
| Professional | $57.54 | $57.54 | $81.28 |