| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $245.47 | |
Aetna
| Professional | $186.21 | $213.80 | $338.84 | |
Cigna
| Professional | $251.19 | $302.00 | $467.74 | |
Molina
| Professional | $32.36 | $33.11 | $478.63 | |
Regence BlueShield
| Professional | $218.78 | $281.84 | $398.11 | |
Select Health
| Professional | $213.80 | $331.13 | $398.11 | |
U of Utah Health Plan
| Professional | $257.04 | $309.03 | $457.09 | |
United
| Professional | $186.21 | $245.47 | $363.08 |