| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $186.21 | $186.21 | |
Aetna
| Professional | $186.21 | $186.21 | $218.78 | |
Cigna
| Professional | $204.17 | $204.17 | $204.17 | |
Select Health
| Professional | $204.17 | $204.17 | $204.17 | |
U of Utah Health Plan
| Professional | $112.20 | $123.03 | $138.04 | |
United
| Professional | $181.97 | $213.80 | $218.78 |