| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.98 | $10.96 | $12.88 | |
Regence BlueShield
| Facility | $13.18 | $15.49 | $24.55 | |
Select Health
| Professional | $14.45 | $14.45 | $39.81 | |
U of Utah Health Plan
| Professional | $13.18 | $14.45 | $14.45 | |
United
| Professional | $8.32 | $13.80 | $21.38 |