| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $87.10 | $112.20 | |
Aetna
| Professional | $28.84 | $40.74 | $67.61 | |
Cigna
| Facility | $37.15 | $38.02 | $120.23 | |
Cigna
| Professional | $41.69 | $52.48 | $81.28 | |
Regence BlueShield
| Facility | $43.65 | $158.49 | $229.09 | |
Regence BlueShield
| Professional | $37.15 | $43.65 | $75.86 | |
Select Health
| Professional | $30.90 | $30.90 | $123.03 | |
U of Utah Health Plan
| Professional | $34.67 | $38.02 | $66.07 | |
United
| Professional | $18.20 | $25.12 | $26.30 |