| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $2,238.72 | $2,630.27 | $5,888.44 | |
U of Utah Health Plan
| Professional | $501.19 | $676.08 | $977.24 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |