| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $5,888.44 | $8,511.38 | |
Regence BlueShield
| Facility | $4,786.30 | $5,623.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $165.96 | $194.98 | $281.84 | |
United
| Facility | $1,096.48 | $5,128.61 | $11,481.54 |