| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $4,570.88 | $5,370.32 | $12,022.64 | |
U of Utah Health Plan
| Professional | $371.54 | $446.68 | $660.69 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |