| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $89.13 | $109.65 | |
Aetna
| Professional | $75.86 | $117.49 | $346.74 | |
Cigna
| Professional | $125.89 | $138.04 | $229.09 | |
Molina
| Professional | $32.36 | $33.11 | $181.97 | |
Regence BlueShield
| Professional | $104.71 | $154.88 | $251.19 | |
Select Health
| Professional | $107.15 | $169.82 | $407.38 | |
U of Utah Health Plan
| Professional | $138.04 | $165.96 | $234.42 | |
United
| Professional | $93.33 | $128.82 | $173.78 |