| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $100.00 | $125.89 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Molina
| Professional | $60.26 | $87.10 | $109.65 | |
Select Health
| Professional | $107.15 | $120.23 | $158.49 | |
U of Utah Health Plan
| Professional | $109.65 | $123.03 | $123.03 | |
United
| Professional | $46.77 | $60.26 | $91.20 |