| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $8,317.64 | $9,772.37 | $22,387.21 | |
U of Utah Health Plan
| Professional | $354.81 | $416.87 | $630.96 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |