| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $141.25 | $158.49 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $15.49 | $112.20 | $218.78 | |
Molina
| Professional | $64.57 | $125.89 | $181.97 | |
Select Health
| Professional | $190.55 | $194.98 | $234.42 | |
U of Utah Health Plan
| Professional | $15.85 | $19.50 | $169.82 | |
United
| Facility | $8.71 | $64.57 | $131.83 | |
United
| Professional | $14.45 | $85.11 | $154.88 |