| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $112.20 | $134.90 | |
Aetna
| Professional | $100.00 | $128.82 | $190.55 | |
Cigna
| Professional | $144.54 | $186.21 | $223.87 | |
Select Health
| Professional | $162.18 | $190.55 | $389.05 | |
U of Utah Health Plan
| Professional | $177.83 | $218.78 | $218.78 | |
United
| Professional | $125.89 | $144.54 | $199.53 |