| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $3,388.44 | $4,897.79 | |
Regence BlueShield
| Facility | $2,344.23 | $2,754.23 | $6,309.57 | |
Regence BlueShield
| Facility | 50 | $3,467.37 | $4,073.80 | $9,549.93 |
U of Utah Health Plan
| Professional | $186.21 | $229.09 | $309.03 | |
United
| Facility | $1,096.48 | $2,818.38 | $5,128.61 |