| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $91.20 | $151.36 | |
Cigna
| Professional | $52.48 | $100.00 | $199.53 | |
Molina
| Professional | $32.36 | $33.11 | $208.93 | |
Regence BlueShield
| Professional | $75.86 | $107.15 | $181.97 | |
Select Health
| Professional | $69.18 | $128.82 | $199.53 | |
U of Utah Health Plan
| Professional | $85.11 | $162.18 | $239.88 | |
United
| Professional | $52.48 | $91.20 | $144.54 |