| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $3.98 | |
Cigna
| Professional | $3.72 | $3.72 | $3.72 | |
U of Utah Health Plan
| Professional | $1.78 | $2.19 | $123.03 | |
United
| Professional | $3.72 | $3.72 | $3.72 |