| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $57.54 | $66.07 | $83.18 | |
Cigna
| Professional | $66.07 | $66.07 | $83.18 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $75.86 | $97.72 | $123.03 | |
Select Health
| Professional | $70.79 | $85.11 | $131.83 | |
U of Utah Health Plan
| Professional | $75.86 | $102.33 | $141.25 | |
United
| Professional | $64.57 | $89.13 | $123.03 |