| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $33.11 | $33.88 | $38.90 | |
Cigna
| Facility | $38.02 | $46.77 | $50.12 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Regence BlueShield
| Facility | $51.29 | $64.57 | $125.89 | |
Select Health
| Professional | $33.88 | $35.48 | $37.15 | |
U of Utah Health Plan
| Professional | $22.91 | $25.70 | $40.74 | |
United
| Professional | $33.88 | $33.88 | $38.02 |