| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $9,549.93 | $21,379.62 | |
Regence BlueShield
| Facility | $25,703.96 | $30,199.52 | $67,608.30 | |
U of Utah Health Plan
| Professional | $1,949.84 | $2,570.40 | $3,715.35 | |
United
| Facility | $3,311.31 | $5,128.61 | $39,810.72 |