| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $5,888.44 | $8,511.38 | |
Regence BlueShield
| Facility | $54,954.09 | $64,565.42 | $134,896.29 | |
U of Utah Health Plan
| Professional | $758.58 | $891.25 | $1,318.26 | |
United
| Facility | $4,466.84 | $7,413.10 | $74,131.02 |