| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $102.33 | |
Aetna
| Professional | $70.79 | $117.49 | $389.05 | |
Cigna
| Professional | $81.28 | $117.49 | $218.78 | |
Molina
| Professional | $32.36 | $33.11 | $89.13 | |
Regence BlueShield
| Professional | $91.20 | $138.04 | $204.17 | |
Select Health
| Professional | $95.50 | $125.89 | $165.96 | |
U of Utah Health Plan
| Professional | $104.71 | $147.91 | $199.53 | |
United
| Professional | $75.86 | $114.82 | $194.98 |