| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $70.79 | $120.23 | |
Aetna
| Professional | $89.13 | $151.36 | $371.54 | |
Cigna
| Professional | $97.72 | $138.04 | $245.47 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $104.71 | $158.49 | $234.42 | |
Select Health
| Professional | $112.20 | $141.25 | $186.21 | |
U of Utah Health Plan
| Professional | $120.23 | $173.78 | $229.09 | |
United
| Professional | $89.13 | $131.83 | $223.87 |