| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $21.88 | |
Aetna
| Professional | $14.13 | $16.98 | $25.70 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $25.70 | $25.70 | $25.70 | |
U of Utah Health Plan
| Professional | $19.95 | $23.44 | $24.55 |