| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $6,918.31 | $8,709.64 | |
Regence BlueShield
| Facility | $10,471.29 | $12,302.69 | $28,183.83 | |
U of Utah Health Plan
| Professional | $467.74 | $724.44 | $1,230.27 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |