| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $1,023.29 | $1,202.26 | $6,309.57 | |
U of Utah Health Plan
| Professional | $457.09 | $794.33 | $1,096.48 | |
United
| Facility | $1,096.48 | $2,818.38 | $5,128.61 |