| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $2,691.53 | $3,162.28 | $7,413.10 | |
U of Utah Health Plan
| Professional | $467.74 | $549.54 | $758.58 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |