| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $117.49 | $251.19 | $602.56 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $218.78 | $218.78 | $323.59 | |
Molina
| Professional | $34.67 | $112.20 | $151.36 | |
Regence BlueShield
| Facility | $218.78 | $257.04 | $457.09 | |
Regence BlueShield
| Professional | $147.91 | $147.91 | $288.40 | |
Select Health
| Professional | $204.17 | $208.93 | $416.87 | |
U of Utah Health Plan
| Professional | $190.55 | $208.93 | $309.03 | |
United
| Facility | $181.97 | $218.78 | $234.42 | |
United
| Professional | $53.70 | $213.80 | $281.84 |