| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $5.01 | $5.01 | |
Cigna
| Facility | $28.84 | $43.65 | $141.25 | |
Regence BlueShield
| Facility | $81.28 | $97.72 | $213.80 | |
U of Utah Health Plan
| Professional | $28.18 | $28.18 | $28.18 |