| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,388.44 | $4,897.79 | |
Regence BlueShield
| Facility | $10,471.29 | $12,302.69 | $28,183.83 | |
U of Utah Health Plan
| Professional | $741.31 | $954.99 | $1,412.54 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |