| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $5,623.41 | $10,232.93 | |
Aetna
| Facility | 50 | $851.14 | $2,884.03 | $6,918.31 |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $14,125.38 | |
Regence BlueShield
| Facility | 50 | $7,762.47 | $9,120.11 | $21,379.62 |
U of Utah Health Plan
| Professional | $218.78 | $269.15 | $398.11 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |