| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $6,025.60 | $8,709.64 | |
Regence BlueShield
| Facility | $13,489.63 | $15,848.93 | $34,673.69 | |
U of Utah Health Plan
| Professional | $218.78 | $257.04 | $1,548.82 | |
United
| Facility | $3,019.95 | $5,128.61 | $15,848.93 |