| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $6,918.31 | $10,232.93 | |
Aetna
| Facility | 50 | $2,511.89 | $7,413.10 | $12,302.69 |
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 | $891.25 | $1,071.52 | $1,479.11 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |