| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $66.07 | $79.43 | |
Aetna
| Professional | $85.11 | $151.36 | $426.58 | |
Cigna
| Professional | $91.20 | $128.82 | $229.09 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Regence BlueShield
| Professional | $97.72 | $147.91 | $218.78 | |
Select Health
| Professional | $107.15 | $131.83 | $173.78 | |
U of Utah Health Plan
| Professional | $114.82 | $162.18 | $208.93 | |
United
| Professional | $83.18 | $123.03 | $208.93 |