| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $3,890.45 | $4,570.88 | $10,964.78 | |
U of Utah Health Plan
| Professional | $346.74 | $630.96 | $851.14 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |