| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $112.20 | $131.83 | |
Aetna
| Professional | $72.44 | $114.82 | $338.84 | |
Cigna
| Professional | $89.13 | $128.82 | $208.93 | |
Molina
| Professional | $32.36 | $33.11 | $186.21 | |
Select Health
| Professional | $100.00 | $141.25 | $281.84 | |
U of Utah Health Plan
| Professional | $107.15 | $144.54 | $239.88 | |
United
| Professional | $87.10 | $123.03 | $204.17 |