| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $14.13 | $19.95 | $25.70 | |
Cigna
| Professional | $15.14 | $15.14 | $19.50 | |
Molina
| Professional | $24.55 | $32.36 | $33.11 | |
Regence BlueShield
| Professional | $16.22 | $20.42 | $25.70 | |
Select Health
| Professional | $16.22 | $17.78 | $20.89 | |
U of Utah Health Plan
| Professional | $17.38 | $21.88 | $29.51 | |
United
| Professional | $13.18 | $17.78 | $30.20 |