| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $102.33 | $186.21 | |
Cigna
| Professional | $93.33 | $131.83 | $190.55 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Regence BlueShield
| Professional | $117.49 | $151.36 | $186.21 | |
Select Health
| Professional | $97.72 | $144.54 | $169.82 | |
U of Utah Health Plan
| Professional | $109.65 | $144.54 | $204.17 | |
United
| Professional | $81.28 | $104.71 | $162.18 |