| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $61.66 | $70.79 | $89.13 | |
Cigna
| Professional | $89.13 | $104.71 | $138.04 | |
Molina
| Professional | $32.36 | $33.11 | $177.83 | |
Regence BlueShield
| Professional | $77.62 | $97.72 | $131.83 | |
Select Health
| Professional | $77.62 | $89.13 | $128.82 | |
U of Utah Health Plan
| Professional | $81.28 | $107.15 | $151.36 | |
United
| Professional | $66.07 | $91.20 | $125.89 |