| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $5,623.41 | $8,709.64 | |
Regence BlueShield
| Facility | $8,317.64 | $9,772.37 | $21,877.62 | |
U of Utah Health Plan
| Professional | $501.19 | $616.60 | $870.96 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |