| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,019.95 | $4,570.88 | |
Regence BlueShield
| Facility | $1,698.24 | $1,995.26 | $4,570.88 | |
U of Utah Health Plan
| Professional | $100.00 | $562.34 | $851.14 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |