| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $776.25 | $1,479.11 | |
Aetna
| Professional | $85.11 | $120.23 | $199.53 | |
Cigna
| Facility | $109.65 | $112.20 | $354.81 | |
Cigna
| Professional | $75.86 | $154.88 | $275.42 | |
Regence BlueShield
| Facility | $128.82 | $436.52 | $676.08 | |
Regence BlueShield
| Professional | $109.65 | $128.82 | $186.21 | |
Select Health
| Professional | $89.13 | $89.13 | $138.04 | |
U of Utah Health Plan
| Professional | $112.20 | $112.20 | $263.03 | |
United
| Professional | $53.70 | $74.13 | $77.62 |