| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $70.79 | |
Aetna
| Professional | $70.79 | $70.79 | $234.42 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $104.71 | $107.15 | $107.15 | |
U of Utah Health Plan
| Professional | $56.23 | $66.07 | $69.18 |