| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $288.40 | $912.01 | |
Aetna
| Professional | $95.50 | $134.90 | $263.03 | |
Cigna
| Facility | $123.03 | $125.89 | $389.05 | |
Cigna
| Professional | $66.07 | $158.49 | $263.03 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Regence BlueShield
| Facility | $141.25 | $426.58 | $676.08 | |
Regence BlueShield
| Professional | $120.23 | $128.82 | $141.25 | |
Select Health
| Professional | $100.00 | $100.00 | $446.68 | |
U of Utah Health Plan
| Professional | $112.20 | $125.89 | $213.80 | |
United
| Professional | $60.26 | $60.26 | $85.11 |