| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $5,888.44 | $8,511.38 | |
Regence BlueShield
| Facility | $4,677.35 | $5,495.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $758.58 | $1,096.48 | $1,548.82 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |