| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $323.59 | $512.86 | |
Aetna
| Professional | $33.88 | $72.44 | $91.20 | |
Cigna
| Facility | $60.26 | $61.66 | $194.98 | |
Molina
| Professional | $38.02 | $54.95 | $79.43 | |
Regence BlueShield
| Facility | $26.30 | $30.90 | $134.90 | |
Regence BlueShield
| Professional | $30.90 | $60.26 | $97.72 | |
U of Utah Health Plan
| Professional | $61.66 | $74.13 | $81.28 | |
United
| Professional | $32.36 | $34.67 | $48.98 |