| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $7,079.46 | $16,218.10 | |
Aetna
| Facility | 50 | $3,548.13 | $12,302.69 | $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 | $933.25 | $1,148.15 | $1,584.89 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |