| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $58.88 | $83.18 | $316.23 | |
Cigna
| Facility | $72.44 | $72.44 | $75.86 | |
Cigna
| Professional | $52.48 | $85.11 | $194.98 | |
Molina
| Professional | $32.36 | $33.11 | $194.98 | |
Regence BlueShield
| Facility | $109.65 | $128.82 | $181.97 | |
Regence BlueShield
| Professional | $87.10 | $112.20 | $117.49 | |
Select Health
| Professional | $95.50 | $104.71 | $120.23 | |
U of Utah Health Plan
| Professional | $102.33 | $138.04 | $234.42 | |
United
| Professional | $75.86 | $91.20 | $95.50 |