| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $14,125.38 | |
U of Utah Health Plan
| Professional | $234.42 | $288.40 | $389.05 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |