| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $190.55 | $257.04 | $407.38 | |
Cigna
| Professional | $40.74 | $40.74 | $741.31 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Select Health
| Professional | $512.86 | $524.81 | $588.84 | |
U of Utah Health Plan
| Professional | $37.15 | $52.48 | $63.10 | |
United
| Facility | $22.91 | $40.74 | $380.19 | |
United
| Professional | $25.70 | $27.54 | $302.00 |