| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $3.02 | $3.02 | $75.86 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Regence BlueShield
| Facility | $114.82 | $134.90 | $346.74 | |
U of Utah Health Plan
| Professional | $66.07 | $66.07 | $66.07 |