| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $56.23 | $104.71 | $831.76 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $81.28 | $81.28 | $120.23 | |
Molina
| Professional | $60.26 | $144.54 | $186.21 | |
Regence BlueShield
| Facility | $147.91 | $173.78 | $302.00 | |
Regence BlueShield
| Professional | $109.65 | $141.25 | $204.17 | |
Select Health
| Professional | $177.83 | $199.53 | $199.53 | |
U of Utah Health Plan
| Professional | $144.54 | $199.53 | $234.42 | |
United
| Facility | $72.44 | $87.10 | $97.72 | |
United
| Professional | $67.61 | $87.10 | $125.89 |