| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $5,248.07 | $7,943.28 | |
Regence BlueShield
| Facility | $10,471.29 | $12,302.69 | $28,183.83 | |
U of Utah Health Plan
| Professional | $338.84 | $457.09 | $645.65 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |