| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $83.18 | |
Aetna
| Professional | $57.54 | $70.79 | $89.13 | |
Cigna
| Professional | $85.11 | $102.33 | $138.04 | |
Molina
| Professional | $32.36 | $33.11 | $165.96 | |
Regence BlueShield
| Professional | $75.86 | $95.50 | $123.03 | |
Select Health
| Professional | $75.86 | $87.10 | $102.33 | |
U of Utah Health Plan
| Professional | $66.07 | $91.20 | $151.36 | |
United
| Professional | $66.07 | $89.13 | $125.89 |