| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $44.67 | $75.86 | $234.42 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $93.33 | $93.33 | $138.04 | |
Molina
| Professional | $30.20 | $43.65 | $60.26 | |
Regence BlueShield
| Facility | $87.10 | $102.33 | $181.97 | |
Regence BlueShield
| Professional | $57.54 | $57.54 | $114.82 | |
Select Health
| Professional | $81.28 | $83.18 | $162.18 | |
U of Utah Health Plan
| Professional | $74.13 | $83.18 | $123.03 | |
United
| Facility | $72.44 | $87.10 | $93.33 | |
United
| Professional | $20.89 | $83.18 | $109.65 |