| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,388.44 | $6,165.95 | $10,000.00 | |
Cigna
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
Regence BlueShield
| Facility | $4,677.35 | $5,495.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $741.31 | $1,122.02 | $1,621.81 | |
United
| Facility | $4,466.84 | $6,165.95 | $8,128.31 |