| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Aetna
| Professional | $141.25 | $169.82 | $239.88 | |
Select Health
| Professional | $154.88 | $234.42 | $512.86 | |
U of Utah Health Plan
| Professional | $218.78 | $263.03 | $275.42 | |
United
| Professional | $194.98 | $251.19 | $288.40 |