| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $15.85 | $25.12 | $575.44 | |
Cigna
| Professional | $11.22 | $70.79 | $467.74 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Regence BlueShield
| Facility | $295.12 | $346.74 | $758.58 | |
Regence BlueShield
| Professional | $19.05 | $28.18 | $549.54 | |
Select Health
| Professional | $16.98 | $363.08 | $446.68 | |
U of Utah Health Plan
| Professional | $19.50 | $446.68 | $676.08 | |
United
| Professional | $16.22 | $75.86 | $380.19 |