| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $107.15 | |
Aetna
| Professional | $69.18 | $83.18 | $104.71 | |
Cigna
| Professional | $104.71 | $120.23 | $165.96 | |
Molina
| Professional | $125.89 | $162.18 | $190.55 | |
Regence BlueShield
| Professional | $87.10 | $114.82 | $147.91 | |
Select Health
| Professional | $91.20 | $109.65 | $154.88 | |
U of Utah Health Plan
| Professional | $91.20 | $120.23 | $169.82 | |
United
| Professional | $81.28 | $104.71 | $151.36 |