| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $9,120.11 | $10,715.19 | $25,118.86 | |
U of Utah Health Plan
| Professional | $1,047.13 | $1,288.25 | $1,862.09 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |