| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $120.23 | $120.23 | |
Aetna
| Professional | $63.10 | $64.57 | $74.13 | |
Cigna
| Facility | $66.07 | $81.28 | $87.10 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
Regence BlueShield
| Facility | $44.67 | $91.20 | $223.87 | |
Select Health
| Professional | $57.54 | $67.61 | $67.61 | |
U of Utah Health Plan
| Professional | $57.54 | $63.10 | $75.86 | |
United
| Professional | $64.57 | $64.57 | $70.79 |