| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,025.60 | $11,220.18 | |
Regence BlueShield
| Facility | $19,952.62 | $23,442.29 | $52,480.75 | |
U of Utah Health Plan
| Professional | $1,047.13 | $1,380.38 | $1,995.26 | |
United
| Facility | $3,019.95 | $5,128.61 | $15,848.93 |