| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $91.20 | |
Aetna
| Professional | $38.90 | $70.79 | $109.65 | |
Cigna
| Professional | $50.12 | $85.11 | $138.04 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Regence BlueShield
| Professional | $47.86 | $79.43 | $120.23 | |
Select Health
| Professional | $44.67 | $79.43 | $100.00 | |
U of Utah Health Plan
| Professional | $47.86 | $102.33 | $158.49 | |
United
| Professional | $40.74 | $69.18 | $114.82 |