| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $2,238.72 | |
Cigna
| Facility | $14.45 | $21.38 | $69.18 | |
Regence BlueShield
| Facility | $40.74 | $47.86 | $104.71 | |
U of Utah Health Plan
| Professional | $69.18 | $75.86 | $75.86 |