| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $45.71 | $61.66 | $87.10 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $51.29 | $51.29 | $69.18 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
U of Utah Health Plan
| Professional | $26.30 | $27.54 | $32.36 | |
United
| Facility | $7.41 | $7.41 | $7.41 | |
United
| Professional | $12.59 | $12.59 | $12.59 |