| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $21.88 | |
Aetna
| Professional | $11.22 | $21.88 | $26.30 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
Regence BlueShield
| Facility | $13.18 | $15.49 | $23.99 | |
Select Health
| Professional | $21.88 | $22.91 | $22.91 | |
U of Utah Health Plan
| Professional | $19.50 | $21.88 | $27.54 | |
United
| Professional | $19.95 | $23.99 | $23.99 |