| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $47.86 | $63.10 | $72.44 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $50.12 | $50.12 | $50.12 | |
U of Utah Health Plan
| Professional | $91.20 | $100.00 | $112.20 |