| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $3,388.44 | $4,897.79 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,803.84 | |
U of Utah Health Plan
| Professional | $213.80 | $436.52 | $645.65 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |