| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $57.54 | $69.18 | |
Aetna
| Professional | $50.12 | $67.61 | $85.11 | |
Aetna
| Professional | 25 | $72.44 | $72.44 | $75.86 |
Cigna
| Professional | $74.13 | $95.50 | $177.83 | |
Select Health
| Professional | $79.43 | $93.33 | $186.21 | |
U of Utah Health Plan
| Professional | $87.10 | $107.15 | $138.04 | |
United
| Professional | $64.57 | $74.13 | $100.00 |