| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $3,388.44 | $4,786.30 | |
Regence BlueShield
| Facility | $5,248.07 | $6,165.95 | $14,454.40 | |
U of Utah Health Plan
| Professional | $467.74 | $660.69 | $954.99 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |