| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $398.11 | $398.11 | |
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
Molina
| Professional | $30.20 | $44.67 | $54.95 | |
Regence BlueShield
| Professional | $33.88 | $43.65 | $57.54 | |
U of Utah Health Plan
| Professional | $29.51 | $43.65 | $48.98 | |
United
| Professional | $151.36 | $151.36 | $151.36 |