| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Molina
| Professional | $30.20 | $44.67 | $186.21 | |
U of Utah Health Plan
| Professional | $186.21 | $186.21 | $186.21 |