| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $123.03 | $162.18 | |
Aetna
| Professional | $16.98 | $21.88 | $36.31 | |
Cigna
| Facility | $25.12 | $25.70 | $81.28 | |
Cigna
| Professional | $13.49 | $31.62 | $53.70 | |
Regence BlueShield
| Facility | $29.51 | $74.13 | $138.04 | |
Regence BlueShield
| Professional | $25.12 | $28.18 | $31.62 | |
Select Health
| Professional | $20.42 | $20.42 | $29.51 | |
U of Utah Health Plan
| Professional | $19.50 | $25.70 | $43.65 | |
United
| Professional | $12.30 | $12.30 | $17.38 |