| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,025.60 | $8,709.64 | |
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 | $436.52 | $537.03 | $794.33 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |