| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $3,388.44 | $6,025.60 | |
Regence BlueShield
| Facility | $3,890.45 | $4,570.88 | $10,964.78 | |
Regence BlueShield
| Facility | 50 | $5,888.44 | $6,918.31 | $16,595.87 |
U of Utah Health Plan
| Professional | $630.96 | $831.76 | $1,122.02 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |