| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $23.99 | $28.18 | $39.81 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $47.86 | $48.98 | $48.98 | |
U of Utah Health Plan
| Professional | $33.88 | $35.48 | $41.69 |