| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $2,691.53 | $3,162.28 | $7,413.10 | |
U of Utah Health Plan
| Professional | $169.82 | $512.86 | $776.25 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |