| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $117.49 | $251.19 | |
Aetna
| Professional | $74.13 | $97.72 | $158.49 | |
Cigna
| Professional | $107.15 | $107.15 | $107.15 | |
Select Health
| Professional | $104.71 | $104.71 | $104.71 | |
U of Utah Health Plan
| Professional | $58.88 | $100.00 | $100.00 | |
United
| Professional | $95.50 | $114.82 | $114.82 |