| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $45.71 | $47.86 | $57.54 | |
Cigna
| Professional | $50.12 | $50.12 | $50.12 | |
Select Health
| Professional | $48.98 | $52.48 | $52.48 | |
U of Utah Health Plan
| Professional | $31.62 | $31.62 | $31.62 | |
United
| Professional | $48.98 | $48.98 | $48.98 |