| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $251.19 | $251.19 | |
Aetna
| Professional | $57.54 | $57.54 | $107.15 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Facility | $234.42 | $275.42 | $602.56 | |
U of Utah Health Plan
| Professional | $190.55 | $190.55 | $190.55 | |
United
| Professional | $16.22 | $128.82 | $138.04 |