| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $389.05 | $389.05 | |
Aetna
| Professional | $302.00 | $363.08 | $436.52 | |
Molina
| Professional | $30.20 | $44.67 | $602.56 | |
Select Health
| Professional | $524.81 | $537.03 | $537.03 | |
U of Utah Health Plan
| Professional | $436.52 | $489.78 | $537.03 |