| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $4,168.69 | $8,317.64 | |
Aetna
| Facility | 50 | $6,918.31 | $6,918.31 | $21,379.62 |
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 | $1,000.00 | $1,230.27 | $1,659.59 | |
United
| Facility | $2,884.03 | $5,128.61 | $23,442.29 |