| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $3,388.44 | $4,570.88 | |
Aetna
| Facility | 50 | $17,782.79 | $17,782.79 | $17,782.79 |
Regence BlueShield
| Facility | $5,248.07 | $6,165.95 | $14,454.40 | |
Regence BlueShield
| Facility | 50 | $7,762.47 | $9,120.11 | $21,877.62 |
U of Utah Health Plan
| Professional | $851.14 | $1,047.13 | $1,445.44 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |