| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $4,570.88 | $7,943.28 | |
Regence BlueShield
| Facility | $4,786.30 | $5,623.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $1,096.48 | $1,258.93 | $2,818.38 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |