| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $102.33 | $575.44 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $77.62 | $91.20 | $158.49 | |
Molina
| Professional | $58.88 | $87.10 | $125.89 | |
Select Health
| Professional | $131.83 | $134.90 | $162.18 | |
U of Utah Health Plan
| Professional | $11.22 | $16.22 | $134.90 | |
United
| Facility | $6.76 | $51.29 | $100.00 | |
United
| Professional | $10.23 | $69.18 | $125.89 |