| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.05 | $21.88 | $46.77 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $33.88 | $34.67 | $34.67 | |
U of Utah Health Plan
| Professional | $28.18 | $29.51 | $34.67 |