| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $151.36 | $173.78 | |
Cigna
| Professional | $87.10 | $87.10 | $87.10 | |
Molina
| Professional | $60.26 | $151.36 | $186.21 | |
Select Health
| Professional | $177.83 | $204.17 | $245.47 | |
U of Utah Health Plan
| Professional | $186.21 | $208.93 | $208.93 | |
United
| Professional | $70.79 | $91.20 | $138.04 |