| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $933.25 | $1,230.27 | |
Aetna
| Professional | $104.71 | $173.78 | $263.03 | |
Cigna
| Facility | $165.96 | $169.82 | $537.03 | |
Cigna
| Professional | $89.13 | $213.80 | $354.81 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Regence BlueShield
| Facility | $165.96 | $234.42 | $891.25 | |
Regence BlueShield
| Professional | $165.96 | $173.78 | $194.98 | |
Select Health
| Professional | $134.90 | $134.90 | $616.60 | |
U of Utah Health Plan
| Professional | $151.36 | $169.82 | $288.40 | |
United
| Professional | $81.28 | $81.28 | $114.82 |