| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $3,548.13 | $6,456.54 | |
Regence BlueShield
| Facility | $10,471.29 | $12,302.69 | $28,183.83 | |
U of Utah Health Plan
| Professional | $758.58 | $933.25 | $1,412.54 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |