| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $223.87 | |
Aetna
| Professional | $138.04 | $223.87 | $707.95 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $281.84 | $281.84 | $389.05 | |
Molina
| Professional | $34.67 | $134.90 | $181.97 | |
Regence BlueShield
| Facility | $251.19 | $295.12 | $524.81 | |
Regence BlueShield
| Professional | $177.83 | $177.83 | $316.23 | |
Select Health
| Professional | $245.47 | $251.19 | $457.09 | |
U of Utah Health Plan
| Professional | $229.09 | $251.19 | $346.74 | |
United
| Facility | $213.80 | $257.04 | $275.42 | |
United
| Professional | $64.57 | $245.47 | $331.13 |