| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $5,623.41 | $9,772.37 | |
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 | $1,288.25 | $1,659.59 | $2,454.71 | |
United
| Facility | $4,466.84 | $9,772.37 | $15,135.61 |