| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $97.72 | |
Aetna
| Professional | $58.88 | $75.86 | $117.49 | |
Cigna
| Professional | $54.95 | $83.18 | $112.20 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Regence BlueShield
| Professional | $70.79 | $97.72 | $125.89 | |
Select Health
| Professional | $70.79 | $95.50 | $125.89 | |
U of Utah Health Plan
| Professional | $72.44 | $97.72 | $165.96 | |
United
| Professional | $67.61 | $85.11 | $123.03 |