| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $245.47 | $245.47 | |
Aetna
| Professional | $81.28 | $95.50 | $190.55 | |
Cigna
| Facility | $104.71 | $109.65 | $338.84 | |
Cigna
| Professional | $117.49 | $147.91 | $234.42 | |
Regence BlueShield
| Facility | $123.03 | $446.68 | $660.69 | |
Regence BlueShield
| Professional | $104.71 | $123.03 | $213.80 | |
Select Health
| Professional | $87.10 | $87.10 | $123.03 | |
U of Utah Health Plan
| Professional | $97.72 | $109.65 | $186.21 | |
United
| Professional | $52.48 | $70.79 | $74.13 |