| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $4,570.88 | $8,511.38 | |
Regence BlueShield
| Facility | $3,890.45 | $4,570.88 | $10,964.78 | |
U of Utah Health Plan
| Professional | $912.01 | $1,148.15 | $1,778.28 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |