| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $4,677.35 | $8,912.51 | |
Regence BlueShield
| Facility | $3,890.45 | $4,570.88 | $10,964.78 | |
U of Utah Health Plan
| Professional | $549.54 | $794.33 | $1,202.26 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |