| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $30.20 | $38.90 | $46.77 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $44.67 | $44.67 | $44.67 | |
U of Utah Health Plan
| Professional | $50.12 | $56.23 | $61.66 |