| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $109.65 | $134.90 | |
Cigna
| Professional | $109.65 | $109.65 | $134.90 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $125.89 | $158.49 | $194.98 | |
Select Health
| Professional | $117.49 | $141.25 | $218.78 | |
U of Utah Health Plan
| Professional | $128.82 | $169.82 | $234.42 | |
United
| Professional | $104.71 | $144.54 | $199.53 |