| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $12.02 | $15.14 | |
Molina
| Professional | $30.20 | $44.67 | $54.95 | |
Select Health
| Professional | $12.88 | $13.49 | $13.49 | |
U of Utah Health Plan
| Professional | $19.95 | $23.44 | $25.12 |