| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $8,317.64 | $10,000.00 | $22,387.21 | |
U of Utah Health Plan
| Professional | $426.58 | $602.56 | $870.96 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |