| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $36.31 | $52.48 | $81.28 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $54.95 | $54.95 | $77.62 | |
Molina
| Professional | $30.20 | $44.67 | $218.78 | |
Regence BlueShield
| Facility | $97.72 | $114.82 | $169.82 | |
Regence BlueShield
| Professional | $97.72 | $97.72 | $97.72 | |
Select Health
| Professional | $190.55 | $190.55 | $229.09 | |
U of Utah Health Plan
| Professional | $95.50 | $107.15 | $125.89 | |
United
| Facility | $47.86 | $57.54 | $257.04 | |
United
| Professional | $35.48 | $57.54 | $87.10 |