| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $46.77 | $77.62 | |
Aetna
| Professional | $30.20 | $44.67 | $70.79 | |
Cigna
| Professional | $50.12 | $50.12 | $60.26 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $43.65 | $58.88 | $91.20 | |
Select Health
| Professional | $40.74 | $57.54 | $72.44 | |
U of Utah Health Plan
| Professional | $41.69 | $69.18 | $112.20 | |
United
| Professional | $35.48 | $57.54 | $93.33 |