| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $3,388.44 | $6,025.60 | |
Aetna
| Professional | $223.87 | $257.04 | $457.09 | |
Molina
| Professional | $30.20 | $44.67 | $371.54 | |
Select Health
| Professional | $323.59 | $331.13 | $331.13 | |
U of Utah Health Plan
| Professional | $363.08 | $398.11 | $446.68 |