| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $15.14 | $18.20 | $23.99 | |
Cigna
| Professional | $19.05 | $21.88 | $27.54 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Professional | $7.76 | $9.55 | $9.55 | |
Select Health
| Professional | $25.70 | $25.70 | $26.30 | |
U of Utah Health Plan
| Professional | $7.76 | $9.77 | $14.13 | |
United
| Professional | $16.22 | $22.91 | $36.31 |