| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $3,162.28 | $4,786.30 | |
Regence BlueShield
| Facility | $575.44 | $676.08 | $1,584.89 | |
U of Utah Health Plan
| Professional | $141.25 | $263.03 | $407.38 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |