| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $208.93 | $208.93 | |
Aetna
| Professional | $38.02 | $83.18 | $190.55 | |
Cigna
| Professional | $50.12 | $66.07 | $87.10 | |
Molina
| Professional | $30.20 | $44.67 | $87.10 | |
Select Health
| Professional | $29.51 | $56.23 | $102.33 | |
U of Utah Health Plan
| Professional | $58.88 | $131.83 | $263.03 |