| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,025.60 | $10,232.93 | |
Regence BlueShield
| Facility | $10,232.93 | $12,022.64 | $26,302.68 | |
U of Utah Health Plan
| Professional | $630.96 | $891.25 | $1,288.25 | |
United
| Facility | $3,019.95 | $5,128.61 | $15,848.93 |