| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $162.18 | |
Aetna
| Professional | $100.00 | $128.82 | $181.97 | |
Cigna
| Professional | $109.65 | $169.82 | $229.09 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Regence BlueShield
| Professional | $125.89 | $162.18 | $204.17 | |
Select Health
| Professional | $120.23 | $173.78 | $218.78 | |
U of Utah Health Plan
| Professional | $128.82 | $173.78 | $263.03 | |
United
| Professional | $104.71 | $138.04 | $208.93 |