| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $5,248.07 | $8,709.64 | |
Regence BlueShield
| Facility | $10,232.93 | $12,022.64 | $26,302.68 | |
U of Utah Health Plan
| Professional | $575.44 | $812.83 | $1,174.90 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |