| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $131.83 | $275.42 | |
Aetna
| Professional | $89.13 | $131.83 | $144.54 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
Regence BlueShield
| Facility | $141.25 | $165.96 | $239.88 | |
Select Health
| Professional | $134.90 | $138.04 | $354.81 | |
U of Utah Health Plan
| Professional | $125.89 | $141.25 | $165.96 | |
United
| Professional | $117.49 | $138.04 | $141.25 |