| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $7,585.78 | $13,803.84 | |
Aetna
| Facility | 50 | $2,818.38 | $9,549.93 | $22,387.21 |
Regence BlueShield
| Facility | $24,547.09 | $28,840.32 | $70,794.58 | |
Regence BlueShield
| Facility | 50 | $37,153.52 | $43,651.58 | $107,151.93 |
U of Utah Health Plan
| Professional | $1,513.56 | $1,862.09 | $2,818.38 | |
United
| Facility | $3,019.95 | $5,128.61 | $23,442.29 |