| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $3,235.94 | $4,786.30 | |
Regence BlueShield
| Facility | $446.68 | $524.81 | $1,584.89 | |
U of Utah Health Plan
| Professional | $48.98 | $58.88 | $87.10 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |