| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $257.04 | $257.04 | |
Aetna
| Professional | $81.28 | $120.23 | $173.78 | |
Cigna
| Facility | $109.65 | $112.20 | $354.81 | |
Cigna
| Professional | $120.23 | $151.36 | $234.42 | |
Regence BlueShield
| Facility | $128.82 | $436.52 | $602.56 | |
Regence BlueShield
| Professional | $107.15 | $128.82 | $194.98 | |
Select Health
| Professional | $89.13 | $89.13 | $398.11 | |
U of Utah Health Plan
| Professional | $100.00 | $112.20 | $190.55 | |
United
| Professional | $53.70 | $63.10 | $75.86 |