| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $257.04 | |
Aetna
| Professional | $257.04 | $457.09 | $4,073.80 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $363.08 | $363.08 | $588.84 | |
Molina
| Professional | $60.26 | $660.69 | $870.96 | |
Regence BlueShield
| Facility | $676.08 | $794.33 | $1,380.38 | |
Regence BlueShield
| Professional | $501.19 | $645.65 | $912.01 | |
Select Health
| Professional | $812.83 | $912.01 | $933.25 | |
U of Utah Health Plan
| Professional | $660.69 | $933.25 | $1,047.13 | |
United
| Facility | $331.13 | $524.81 | $602.56 | |
United
| Professional | $316.23 | $398.11 | $602.56 |