| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $173.78 | $190.55 | |
Aetna
| Professional | $36.31 | $47.86 | $102.33 | |
Cigna
| Professional | $43.65 | $67.61 | $120.23 | |
Molina
| Professional | $32.36 | $33.11 | $81.28 | |
Regence BlueShield
| Facility | $165.96 | $194.98 | $426.58 | |
Regence BlueShield
| Professional | $67.61 | $100.00 | $125.89 | |
Select Health
| Professional | $42.66 | $66.07 | $102.33 | |
U of Utah Health Plan
| Professional | $52.48 | $72.44 | $112.20 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 | |
United
| Professional | $42.66 | $56.23 | $83.18 |