| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $5,888.44 | $8,511.38 | |
Aetna
| Facility | 50 | $575.44 | $1,047.13 | $9,120.11 |
Regence BlueShield
| Facility | $4,570.88 | $5,370.32 | $12,022.64 | |
Regence BlueShield
| Facility | 50 | $6,760.83 | $7,943.28 | $18,197.01 |
U of Utah Health Plan
| Professional | $501.19 | $616.60 | $891.25 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |