| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $25.12 | $56.23 | $66.07 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $22.91 | $23.44 | $23.44 | |
U of Utah Health Plan
| Professional | $83.18 | $97.72 | $102.33 |