| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $42.66 | $48.98 | $60.26 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $56.23 | $72.44 | $91.20 | |
Select Health
| Professional | $52.48 | $64.57 | $74.13 | |
U of Utah Health Plan
| Professional | $66.07 | $77.62 | $107.15 | |
United
| Professional | $48.98 | $64.57 | $107.15 |