| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $61.66 | $69.18 | $85.11 | |
Cigna
| Professional | $69.18 | $69.18 | $69.18 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Regence BlueShield
| Professional | $79.43 | $102.33 | $128.82 | |
Select Health
| Professional | $74.13 | $89.13 | $104.71 | |
U of Utah Health Plan
| Professional | $91.20 | $107.15 | $151.36 | |
United
| Professional | $69.18 | $91.20 | $147.91 |