| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $165.96 | $199.53 | |
Cigna
| Professional | $154.88 | $154.88 | $190.55 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $177.83 | $218.78 | $269.15 | |
Select Health
| Professional | $165.96 | $199.53 | $309.03 | |
U of Utah Health Plan
| Professional | $181.97 | $245.47 | $331.13 | |
United
| Professional | $147.91 | $199.53 | $275.42 |