| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $8,912.51 | $13,803.84 | |
Cigna
| Facility | $9,772.37 | $9,772.37 | $9,772.37 | |
Regence BlueShield
| Facility | $10,471.29 | $12,302.69 | $28,183.83 | |
U of Utah Health Plan
| Professional | $1,318.26 | $1,698.24 | $2,511.89 | |
United
| Facility | $4,466.84 | $9,772.37 | $15,135.61 |