| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $9,332.54 | $16,982.44 | |
Regence BlueShield
| Facility | $47,863.01 | $56,234.13 | $114,815.36 | |
U of Utah Health Plan
| Professional | $457.09 | $524.81 | $1,122.02 | |
United
| Facility | $4,466.84 | $7,413.10 | $43,651.58 |