| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $169.82 | $588.84 | |
Aetna
| Professional | $87.10 | $109.65 | $154.88 | |
Cigna
| Facility | $134.90 | $162.18 | $426.58 | |
Cigna
| Professional | $83.18 | $162.18 | $204.17 | |
Molina
| Professional | $100.00 | $100.00 | $218.78 | |
Regence BlueShield
| Facility | $154.88 | $371.54 | $741.31 | |
Regence BlueShield
| Professional | $107.15 | $131.83 | $141.25 | |
Select Health
| Professional | $109.65 | $154.88 | $489.78 | |
U of Utah Health Plan
| Professional | $97.72 | $138.04 | $154.88 | |
United
| Facility | $77.62 | $77.62 | $102.33 | |
United
| Professional | $51.29 | $66.07 | $97.72 |