| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $83.18 | $83.18 | $100.00 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
Regence BlueShield
| Facility | $100.00 | $117.49 | $181.97 | |
Select Health
| Professional | $91.20 | $91.20 | $91.20 | |
U of Utah Health Plan
| Professional | $104.71 | $128.82 | $128.82 | |
United
| Professional | $83.18 | $100.00 | $102.33 |