| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $8.91 | |
Aetna
| Professional | $8.91 | $8.91 | $10.96 | |
Cigna
| Professional | $10.00 | $10.00 | $10.00 | |
Select Health
| Professional | $2.95 | $10.47 | $10.47 | |
U of Utah Health Plan
| Professional | $7.08 | $7.08 | $7.08 | |
United
| Professional | $9.77 | $9.77 | $9.77 |