| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $67.61 | $194.98 | |
Aetna
| Professional | $16.98 | $30.20 | $107.15 | |
Cigna
| Professional | $23.99 | $33.11 | $89.13 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Regence BlueShield
| Facility | $186.21 | $218.78 | $489.78 | |
Regence BlueShield
| Professional | $19.50 | $30.90 | $134.90 | |
Select Health
| Professional | $19.05 | $30.90 | $46.77 | |
U of Utah Health Plan
| Professional | $23.44 | $28.18 | $51.29 | |
United
| Professional | $16.98 | $26.92 | $70.79 |