| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $363.08 | $363.08 | |
Aetna
| Professional | $354.81 | $363.08 | $436.52 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Select Health
| Professional | $144.54 | $436.52 | $436.52 | |
U of Utah Health Plan
| Professional | $3.09 | $3.24 | $3.80 | |
United
| Professional | $371.54 | $380.19 | $407.38 |