| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $38.02 | $213.80 | |
Cigna
| Facility | $33.11 | $33.11 | $33.11 | |
Cigna
| Professional | $28.18 | $33.11 | $60.26 | |
Molina
| Professional | $18.20 | $32.36 | $46.77 | |
Select Health
| Professional | $48.98 | $50.12 | $61.66 | |
U of Utah Health Plan
| Professional | $4.27 | $6.03 | $50.12 | |
United
| Facility | $2.57 | $19.50 | $36.31 | |
United
| Professional | $3.80 | $25.70 | $45.71 |