| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $3,388.44 | $6,025.60 | |
Aetna
| Professional | $208.93 | $346.74 | $446.68 | |
Molina
| Professional | $30.20 | $44.67 | $218.78 | |
Select Health
| Professional | $190.55 | $194.98 | $194.98 | |
U of Utah Health Plan
| Professional | $302.00 | $331.13 | $371.54 |