| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $14,125.38 | |
U of Utah Health Plan
| Professional | $295.12 | $363.08 | $537.03 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |