| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $4,786.30 | $5,623.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $457.09 | $537.03 | $1,584.89 | |
United
| Facility | $2,137.96 | $5,128.61 | $11,481.54 |