| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $181.97 | |
Aetna
| Professional | $107.15 | $177.83 | $562.34 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $229.09 | $229.09 | $323.59 | |
Molina
| Professional | $34.67 | $104.71 | $141.25 | |
Regence BlueShield
| Facility | $199.53 | $234.42 | $426.58 | |
Regence BlueShield
| Professional | $138.04 | $138.04 | $263.03 | |
Select Health
| Professional | $194.98 | $199.53 | $371.54 | |
U of Utah Health Plan
| Professional | $177.83 | $199.53 | $281.84 | |
United
| Facility | $173.78 | $208.93 | $223.87 | |
United
| Professional | $50.12 | $199.53 | $269.15 |