| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $138.04 | $138.04 | |
Aetna
| Professional | $14.13 | $16.98 | $25.12 | |
Cigna
| Professional | $15.85 | $22.39 | $34.67 | |
Molina
| Professional | $32.36 | $33.11 | $48.98 | |
Regence BlueShield
| Professional | $21.88 | $26.92 | $34.67 | |
Select Health
| Professional | $20.89 | $23.44 | $25.70 | |
U of Utah Health Plan
| Professional | $20.42 | $28.18 | $45.71 | |
United
| Professional | $19.95 | $23.99 | $25.70 |