| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Facility | $14,791.08 | $18,197.01 | $30,199.52 | |
U of Utah Health Plan
| Professional | $208.93 | $251.19 | $302.00 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |