| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $239.88 | |
Aetna
| Professional | $186.21 | $245.47 | $269.15 | |
Molina
| Professional | $30.20 | $44.67 | $416.87 | |
Select Health
| Professional | $371.54 | $380.19 | $380.19 | |
U of Utah Health Plan
| Professional | $331.13 | $363.08 | $407.38 |