| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $141.25 | |
Aetna
| Professional | $165.96 | $263.03 | $831.76 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $229.09 | $229.09 | $331.13 | |
Molina
| Professional | $60.26 | $363.08 | $478.63 | |
Regence BlueShield
| Facility | $371.54 | $436.52 | $758.58 | |
Regence BlueShield
| Professional | $281.84 | $354.81 | $512.86 | |
Select Health
| Professional | $446.68 | $501.19 | $512.86 | |
U of Utah Health Plan
| Professional | $363.08 | $512.86 | $588.84 | |
United
| Facility | $181.97 | $218.78 | $251.19 | |
United
| Professional | $173.78 | $218.78 | $316.23 |