| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,803.84 | |
U of Utah Health Plan
| Professional | $229.09 | $275.42 | $407.38 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |