| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $15.85 | $19.05 | $97.72 | |
Cigna
| Professional | $19.05 | $22.91 | $38.90 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Professional | $25.12 | $28.18 | $33.11 | |
Select Health
| Professional | $30.90 | $30.90 | $33.11 | |
U of Utah Health Plan
| Professional | $24.55 | $31.62 | $44.67 | |
United
| Professional | $26.92 | $37.15 | $54.95 |