| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $125.89 | $125.89 | |
Aetna
| Professional | $60.26 | $83.18 | $125.89 | |
Cigna
| Professional | $40.74 | $40.74 | $40.74 | |
Molina
| Professional | $30.20 | $44.67 | $54.95 | |
Regence BlueShield
| Professional | $42.66 | $54.95 | $72.44 | |
U of Utah Health Plan
| Professional | $29.51 | $43.65 | $48.98 | |
United
| Professional | $128.82 | $128.82 | $128.82 |