| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $3,388.44 | $4,570.88 | |
Regence BlueShield
| Facility | $1,698.24 | $1,995.26 | $4,570.88 | |
U of Utah Health Plan
| Professional | $288.40 | $549.54 | $831.76 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |