| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $48.98 | $56.23 | $81.28 | |
Cigna
| Professional | $54.95 | $87.10 | $154.88 | |
Molina
| Professional | $30.20 | $89.13 | $165.96 | |
Regence BlueShield
| Professional | $63.10 | $83.18 | $109.65 | |
Select Health
| Professional | $54.95 | $74.13 | $104.71 | |
U of Utah Health Plan
| Professional | $69.18 | $87.10 | $125.89 | |
United
| Professional | $57.54 | $74.13 | $120.23 |