| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $6,025.60 | $8,709.64 | |
Regence BlueShield
| Facility | $10,471.29 | $12,302.69 | $28,183.83 | |
Regence BlueShield
| Facility | 50 | $15,488.17 | $18,197.01 | $41,686.94 |
U of Utah Health Plan
| Professional | $724.44 | $1,023.29 | $1,479.11 | |
United
| Facility | $2,884.03 | $5,128.61 | $47,863.01 |