| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $223.87 | $295.12 | |
Cigna
| Professional | $128.82 | $128.82 | $128.82 | |
Molina
| Professional | $30.20 | $60.26 | $257.04 | |
Select Health
| Professional | $257.04 | $288.40 | $288.40 | |
U of Utah Health Plan
| Professional | $269.15 | $295.12 | $436.52 | |
United
| Professional | $104.71 | $134.90 | $199.53 |