| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $16.98 | $19.05 | |
Regence BlueShield
| Facility | $19.05 | $22.39 | $35.48 | |
Select Health
| Professional | $19.05 | $19.05 | $58.88 | |
U of Utah Health Plan
| Professional | $17.78 | $19.50 | $19.50 | |
United
| Professional | $10.72 | $23.99 | $28.18 |