| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,918.31 | $16,218.10 | |
Regence BlueShield
| Facility | $10,232.93 | $12,022.64 | $26,302.68 | |
Regence BlueShield
| Facility | 50 | $15,135.61 | $17,782.79 | $39,810.72 |
U of Utah Health Plan
| Professional | $1,659.59 | $2,137.96 | $3,162.28 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |