| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $16.98 | |
Aetna
| Professional | $8.91 | $16.98 | $19.05 | |
Cigna
| Professional | $18.62 | $19.05 | $20.89 | |
Regence BlueShield
| Facility | $15.85 | $18.62 | $27.54 | |
U of Utah Health Plan
| Professional | $18.62 | $81.28 | $100.00 | |
United
| Professional | $13.18 | $18.20 | $22.91 |