| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $134.90 | $138.04 | $169.82 | |
Cigna
| Professional | $144.54 | $144.54 | $144.54 | |
Select Health
| Professional | $151.36 | $151.36 | $204.17 | |
U of Utah Health Plan
| Professional | $102.33 | $102.33 | $102.33 | |
United
| Professional | $141.25 | $141.25 | $141.25 |