| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $69.18 | $69.18 | |
Aetna
| Professional | $33.88 | $47.86 | $60.26 | |
Cigna
| Professional | $43.65 | $43.65 | $54.95 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $51.29 | $67.61 | $83.18 | |
Select Health
| Professional | $47.86 | $56.23 | $89.13 | |
U of Utah Health Plan
| Professional | $52.48 | $69.18 | $95.50 | |
United
| Professional | $44.67 | $61.66 | $85.11 |