| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $3,981.07 | $7,943.28 | |
Regence BlueShield
| Facility | $7,943.28 | $9,332.54 | $21,877.62 | |
U of Utah Health Plan
| Professional | $275.42 | $338.84 | $407.38 | |
United
| Facility | $3,019.95 | $5,128.61 | $15,848.93 |