| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $707.95 | |
Aetna
| Professional | $676.08 | $707.95 | $851.14 | |
Cigna
| Professional | $724.44 | $724.44 | $724.44 | |
Regence BlueShield
| Facility | $630.96 | $724.44 | $794.33 | |
Select Health
| Professional | $537.03 | $812.83 | $812.83 | |
U of Utah Health Plan
| Professional | $363.08 | $363.08 | $363.08 | |
United
| Professional | $707.95 | $707.95 | $741.31 |