| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $5.01 | $10.96 | $22.91 | |
Cigna
| Professional | $8.71 | $8.71 | $8.71 | |
Molina
| Professional | $11.22 | $15.49 | $30.20 | |
Regence BlueShield
| Professional | $9.55 | $12.30 | $12.30 | |
Select Health
| Professional | $15.49 | $17.38 | $17.38 | |
U of Utah Health Plan
| Professional | $15.85 | $17.38 | $20.89 | |
United
| Professional | $5.75 | $7.24 | $10.47 |