| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,570.88 | $7,943.28 | |
Regence BlueShield
| Facility | $8,317.64 | $9,772.37 | $21,877.62 | |
U of Utah Health Plan
| Professional | $426.58 | $512.86 | $724.44 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |