| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $83.18 | $85.11 | $104.71 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Select Health
| Professional | $93.33 | $93.33 | $112.20 | |
U of Utah Health Plan
| Professional | $35.48 | $38.02 | $43.65 | |
United
| Professional | $87.10 | $87.10 | $87.10 |