| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $112.20 | |
Aetna
| Professional | $79.43 | $91.20 | $112.20 | |
Cigna
| Professional | $93.33 | $93.33 | $114.82 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $107.15 | $131.83 | $162.18 | |
Select Health
| Professional | $97.72 | $117.49 | $181.97 | |
U of Utah Health Plan
| Professional | $104.71 | $144.54 | $181.97 | |
United
| Professional | $89.13 | $123.03 | $165.96 |