| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $6,025.60 | $8,709.64 | |
Regence BlueShield
| Facility | $26,302.68 | $30,902.95 | $72,443.60 | |
U of Utah Health Plan
| Professional | $645.65 | $758.58 | $2,187.76 | |
United
| Facility | $4,265.80 | $5,128.61 | $19,498.45 |