| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $1,174.90 | $1,548.82 | |
Aetna
| Professional | $114.82 | $162.18 | $275.42 | |
Cigna
| Facility | $147.91 | $151.36 | $478.63 | |
Cigna
| Professional | $109.65 | $208.93 | $331.13 | |
Regence BlueShield
| Facility | $173.78 | $630.96 | $912.01 | |
Regence BlueShield
| Professional | $147.91 | $173.78 | $302.00 | |
Select Health
| Professional | $120.23 | $120.23 | $229.09 | |
U of Utah Health Plan
| Professional | $151.36 | $151.36 | $257.04 | |
United
| Professional | $104.71 | $147.91 | $288.40 |