| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $1,174.90 | $1,513.56 | |
Aetna
| Professional | $213.80 | $275.42 | $275.42 | |
Cigna
| Facility | $144.54 | $144.54 | $144.54 | |
Regence BlueShield
| Facility | $478.63 | $562.34 | $1,380.38 | |
U of Utah Health Plan
| Professional | $165.96 | $181.97 | $181.97 |