| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $6.61 | $10.96 | $13.18 | |
Cigna
| Professional | $10.96 | $10.96 | $10.96 | |
Regence BlueShield
| Facility | $13.18 | $15.49 | $23.99 | |
Select Health
| Professional | $10.96 | $11.48 | $11.48 | |
U of Utah Health Plan
| Professional | $9.77 | $10.96 | $13.80 | |
United
| Professional | $10.00 | $11.75 | $12.02 |