| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $295.12 | $331.13 | |
Aetna
| Professional | $223.87 | $295.12 | $457.09 | |
Cigna
| Professional | $323.59 | $323.59 | $323.59 | |
Regence BlueShield
| Facility | $436.52 | $436.52 | $602.56 | |
Select Health
| Professional | $309.03 | $309.03 | $309.03 | |
U of Utah Health Plan
| Professional | $162.18 | $295.12 | $295.12 | |
United
| Professional | $288.40 | $338.84 | $346.74 |