| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $912.01 | $912.01 | |
Aetna
| Professional | $338.84 | $660.69 | $933.25 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Molina
| Professional | $30.20 | $30.20 | $60.26 | |
Regence BlueShield
| Facility | $2,818.38 | $3,311.31 | $7,244.36 | |
Regence BlueShield
| Professional | $107.15 | $436.52 | $1,096.48 | |
Select Health
| Professional | $95.50 | $977.24 | $1,479.11 | |
U of Utah Health Plan
| Professional | $602.56 | $741.31 | $1,659.59 | |
United
| Professional | $151.36 | $794.33 | $1,174.90 |