| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $97.72 | $128.82 | $331.13 | |
Cigna
| Professional | $104.71 | $158.49 | $346.74 | |
Molina
| Professional | $32.36 | $33.11 | $229.09 | |
Regence BlueShield
| Professional | $144.54 | $234.42 | $380.19 | |
Select Health
| Professional | $104.71 | $218.78 | $302.00 | |
U of Utah Health Plan
| Professional | $134.90 | $186.21 | $263.03 | |
United
| Professional | $107.15 | $138.04 | $213.80 |