| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $10.96 | $28.84 | $33.88 | |
Regence BlueShield
| Facility | $33.11 | $39.81 | $61.66 | |
Select Health
| Professional | $36.31 | $36.31 | $100.00 | |
U of Utah Health Plan
| Professional | $33.11 | $36.31 | $36.31 | |
United
| Professional | $20.89 | $34.67 | $53.70 |