| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $6,025.60 | $9,332.54 | |
Regence BlueShield
| Facility | $4,677.35 | $5,495.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $676.08 | $954.99 | $1,380.38 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |