| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $26.92 | $26.92 | |
Aetna
| Professional | $19.95 | $26.92 | $67.61 | |
Molina
| Professional | $30.20 | $44.67 | $54.95 | |
Select Health
| Professional | $41.69 | $43.65 | $43.65 | |
U of Utah Health Plan
| Professional | $27.54 | $33.88 | $35.48 |