| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $323.59 | $933.25 | |
Aetna
| Professional | $93.33 | $134.90 | $380.19 | |
Cigna
| Facility | $123.03 | $125.89 | $389.05 | |
Cigna
| Professional | $81.28 | $181.97 | $302.00 | |
Regence BlueShield
| Facility | $141.25 | $436.52 | $676.08 | |
Regence BlueShield
| Professional | $120.23 | $141.25 | $186.21 | |
Select Health
| Professional | $138.04 | $138.04 | $147.91 | |
U of Utah Health Plan
| Professional | $114.82 | $141.25 | $263.03 | |
United
| Professional | $60.26 | $74.13 | $85.11 |