| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $70.79 | $79.43 | $100.00 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $91.20 | $120.23 | $151.36 | |
Select Health
| Professional | $85.11 | $104.71 | $120.23 | |
U of Utah Health Plan
| Professional | $104.71 | $123.03 | $173.78 | |
United
| Professional | $79.43 | $107.15 | $173.78 |