| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $138.04 | $169.82 | |
Aetna
| Professional | $120.23 | $162.18 | $223.87 | |
Aetna
| Professional | 25 | $239.88 | $239.88 | $239.88 |
Cigna
| Professional | $181.97 | $234.42 | $398.11 | |
Select Health
| Professional | $194.98 | $229.09 | $457.09 | |
U of Utah Health Plan
| Professional | $213.80 | $257.04 | $338.84 | |
United
| Professional | $158.49 | $181.97 | $239.88 |