| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $446.68 | $524.81 | $1,584.89 | |
U of Utah Health Plan
| Professional | $81.28 | $95.50 | $165.96 | |
United
| Facility | $1,071.52 | $5,128.61 | $11,481.54 |