| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $7,244.36 | $13,803.84 | |
Regence BlueShield
| Facility | $9,120.11 | $10,715.19 | $25,118.86 | |
Regence BlueShield
| Facility | 50 | $13,803.84 | $16,218.10 | $38,018.94 |
U of Utah Health Plan
| Professional | $1,548.82 | $1,905.46 | $2,630.27 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |