| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $128.82 | $676.08 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $95.50 | $112.20 | $194.98 | |
Molina
| Professional | $60.26 | $100.00 | $158.49 | |
Select Health
| Professional | $162.18 | $169.82 | $186.21 | |
U of Utah Health Plan
| Professional | $13.18 | $20.42 | $169.82 | |
United
| Facility | $7.76 | $58.88 | $120.23 | |
United
| Professional | $12.88 | $79.43 | $151.36 |