| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $4,570.88 | $5,370.32 | $12,022.64 | |
U of Utah Health Plan
| Professional | $331.13 | $524.81 | $794.33 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |