| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $478.63 | |
Aetna
| Professional | $295.12 | $478.63 | $912.01 | |
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Professional | $549.54 | $549.54 | $812.83 | |
Molina
| Professional | $34.67 | $275.42 | $371.54 | |
Regence BlueShield
| Facility | $549.54 | $645.65 | $1,148.15 | |
Regence BlueShield
| Professional | $363.08 | $363.08 | $724.44 | |
Select Health
| Professional | $512.86 | $524.81 | $1,047.13 | |
U of Utah Health Plan
| Professional | $467.74 | $524.81 | $776.25 | |
United
| Facility | $457.09 | $549.54 | $588.84 | |
United
| Professional | $131.83 | $524.81 | $691.83 |