| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $165.96 | $213.80 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Molina
| Professional | $30.20 | $60.26 | $169.82 | |
Select Health
| Professional | $169.82 | $190.55 | $245.47 | |
U of Utah Health Plan
| Professional | $173.78 | $194.98 | $288.40 | |
United
| Professional | $74.13 | $95.50 | $141.25 |