| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $83.18 | |
Aetna
| Professional | $44.67 | $63.10 | $81.28 | |
Cigna
| Professional | $57.54 | $57.54 | $87.10 | |
Molina
| Professional | $32.36 | $33.11 | $97.72 | |
Regence BlueShield
| Professional | $69.18 | $95.50 | $109.65 | |
Select Health
| Professional | $64.57 | $72.44 | $85.11 | |
U of Utah Health Plan
| Professional | $64.57 | $83.18 | $128.82 | |
United
| Professional | $53.70 | $67.61 | $100.00 |