| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $44.67 | |
Aetna
| Professional | $30.20 | $37.15 | $128.82 | |
Cigna
| Professional | $33.11 | $50.12 | $91.20 | |
Molina
| Professional | $32.36 | $33.11 | $51.29 | |
Regence BlueShield
| Professional | $33.11 | $46.77 | $61.66 | |
Select Health
| Professional | $33.88 | $37.15 | $52.48 | |
U of Utah Health Plan
| Professional | $25.12 | $56.23 | $91.20 | |
United
| Professional | $30.90 | $41.69 | $70.79 |