| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $4,570.88 | $7,943.28 | |
Regence BlueShield
| Facility | $4,677.35 | $5,495.41 | $12,589.25 | |
Regence BlueShield
| Facility | 50 | $7,079.46 | $8,317.64 | $19,054.61 |
U of Utah Health Plan
| Professional | $794.33 | $1,122.02 | $1,621.81 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |