| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $97.72 | $100.00 | $120.23 | |
Select Health
| Professional | $95.50 | $112.20 | $114.82 | |
U of Utah Health Plan
| Professional | $6.31 | $6.61 | $7.76 | |
United
| Professional | $102.33 | $102.33 | $102.33 |