| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $3,162.28 | $4,786.30 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,803.84 | |
U of Utah Health Plan
| Professional | $251.19 | $870.96 | $1,445.44 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |