| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $549.54 | $724.44 | |
Aetna
| Professional | $67.61 | $91.20 | $120.23 | |
Cigna
| Facility | $97.72 | $100.00 | $316.23 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
Regence BlueShield
| Facility | $114.82 | $208.93 | $549.54 | |
Regence BlueShield
| Professional | $77.62 | $97.72 | $102.33 | |
Select Health
| Professional | $79.43 | $114.82 | $331.13 | |
U of Utah Health Plan
| Professional | $91.20 | $100.00 | $169.82 | |
United
| Facility | $57.54 | $57.54 | $74.13 | |
United
| Professional | $47.86 | $47.86 | $91.20 |