| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $12.02 | $25.70 | $54.95 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Molina
| Professional | $30.20 | $33.11 | $60.26 | |
Regence BlueShield
| Professional | $22.91 | $29.51 | $29.51 | |
Select Health
| Professional | $37.15 | $40.74 | $41.69 | |
U of Utah Health Plan
| Professional | $38.02 | $41.69 | $50.12 | |
United
| Professional | $13.49 | $17.38 | $25.12 |