| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $5,370.32 | $10,232.93 | |
Regence BlueShield
| Facility | $4,570.88 | $5,370.32 | $12,022.64 | |
U of Utah Health Plan
| Professional | $812.83 | $977.24 | $1,445.44 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |