| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $100.00 | $107.15 | |
Cigna
| Professional | $58.88 | $58.88 | $58.88 | |
Molina
| Professional | $30.20 | $60.26 | $107.15 | |
Select Health
| Professional | $109.65 | $120.23 | $134.90 | |
U of Utah Health Plan
| Professional | $112.20 | $123.03 | $181.97 | |
United
| Professional | $47.86 | $58.88 | $91.20 |