| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $15.14 | |
Aetna
| Professional | $15.14 | $26.92 | $288.40 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $22.39 | $22.39 | $31.62 | |
Molina
| Professional | $29.51 | $36.31 | $46.77 | |
Regence BlueShield
| Facility | $37.15 | $43.65 | $75.86 | |
Regence BlueShield
| Professional | $27.54 | $35.48 | $52.48 | |
Select Health
| Professional | $44.67 | $48.98 | $50.12 | |
U of Utah Health Plan
| Professional | $36.31 | $50.12 | $60.26 | |
United
| Facility | $20.42 | $24.55 | $33.11 | |
United
| Professional | $19.50 | $24.55 | $35.48 |