| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $61.66 | |
Aetna
| Professional | $39.81 | $48.98 | $61.66 | |
Cigna
| Professional | $61.66 | $74.13 | $102.33 | |
Molina
| Professional | $32.36 | $33.11 | $120.23 | |
Regence BlueShield
| Professional | $52.48 | $69.18 | $89.13 | |
Select Health
| Professional | $52.48 | $60.26 | $72.44 | |
U of Utah Health Plan
| Professional | $44.67 | $61.66 | $109.65 | |
United
| Professional | $47.86 | $63.10 | $91.20 |