| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $2,818.38 | $3,311.31 | $7,244.36 | |
U of Utah Health Plan
| Professional | $467.74 | $549.54 | $1,513.56 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |