| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $2,290.87 | $2,691.53 | $6,025.60 | |
U of Utah Health Plan
| Professional | $776.25 | $1,096.48 | $1,513.56 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |