| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $3,715.35 | $6,025.60 | |
Regence BlueShield
| Facility | $2,818.38 | $3,311.31 | $7,244.36 | |
U of Utah Health Plan
| Professional | $645.65 | $812.83 | $1,318.26 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |