| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $81.28 | |
Aetna
| Professional | $56.23 | $83.18 | $128.82 | |
Cigna
| Professional | $66.07 | $109.65 | $213.80 | |
Molina
| Professional | $32.36 | $33.11 | $100.00 | |
Regence BlueShield
| Facility | $223.87 | $263.03 | $616.60 | |
Regence BlueShield
| Professional | $83.18 | $123.03 | $154.88 | |
Select Health
| Professional | $83.18 | $134.90 | $165.96 | |
U of Utah Health Plan
| Professional | $100.00 | $138.04 | $218.78 | |
United
| Professional | $53.70 | $89.13 | $144.54 |