| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $6,025.60 | $8,709.64 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,489.63 | |
U of Utah Health Plan
| Professional | $1,348.96 | $1,778.28 | $2,630.27 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |