| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $57.54 | $67.61 | $91.20 | |
Cigna
| Professional | $48.98 | $87.10 | $117.49 | |
Molina
| Professional | $30.20 | $223.87 | $295.12 | |
Regence BlueShield
| Professional | $70.79 | $83.18 | $131.83 | |
Select Health
| Professional | $102.33 | $102.33 | $102.33 | |
U of Utah Health Plan
| Professional | $64.57 | $85.11 | $100.00 | |
United
| Professional | $60.26 | $81.28 | $123.03 |