| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $134.90 | $147.91 | $190.55 | |
Cigna
| Professional | $141.25 | $141.25 | $177.83 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $162.18 | $223.87 | $275.42 | |
Select Health
| Professional | $151.36 | $181.97 | $281.84 | |
U of Utah Health Plan
| Professional | $165.96 | $218.78 | $302.00 | |
United
| Professional | $147.91 | $204.17 | $281.84 |