| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $4,677.35 | $5,495.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $436.52 | $575.44 | $794.33 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |