| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $776.25 | $4,466.84 | |
Aetna
| Facility | 54 | $1,202.26 | $1,202.26 | $1,348.96 |
Regence BlueShield
| Facility | $2,290.87 | $2,691.53 | $6,025.60 | |
U of Utah Health Plan
| Professional | $616.60 | $812.83 | $1,071.52 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |