| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $26.92 | $26.92 | |
Aetna
| Professional | $30.90 | $50.12 | $83.18 | |
Cigna
| Facility | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $42.66 | $42.66 | $63.10 | |
Molina
| Professional | $42.66 | $69.18 | $91.20 | |
Regence BlueShield
| Facility | $70.79 | $83.18 | $144.54 | |
Regence BlueShield
| Professional | $52.48 | $67.61 | $97.72 | |
Select Health
| Professional | $85.11 | $95.50 | $97.72 | |
U of Utah Health Plan
| Professional | $69.18 | $97.72 | $112.20 | |
United
| Facility | $34.67 | $41.69 | $47.86 | |
United
| Professional | $33.11 | $41.69 | $60.26 |