| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $6,025.60 | $8,709.64 | |
Regence BlueShield
| Facility | $4,570.88 | $5,370.32 | $12,022.64 | |
U of Utah Health Plan
| Professional | $645.65 | $794.33 | $1,202.26 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |