| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $2,691.53 | $3,162.28 | $7,413.10 | |
U of Utah Health Plan
| Professional | $190.55 | $234.42 | $346.74 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |