| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $4,570.88 | $7,943.28 | |
Aetna
| Facility | 50 | $831.76 | $2,570.40 | $7,413.10 |
Regence BlueShield
| Facility | $9,549.93 | $11,220.18 | $26,302.68 | |
Regence BlueShield
| Facility | 50 | $14,454.40 | $16,982.44 | $38,904.51 |
U of Utah Health Plan
| Professional | $457.09 | $562.34 | $831.76 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |