| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $3,388.44 | $4,897.79 | |
Regence BlueShield
| Facility | $4,677.35 | $5,495.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $457.09 | $691.83 | $1,071.52 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |