| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $5,888.44 | $8,511.38 | |
Regence BlueShield
| Facility | $8,317.64 | $9,772.37 | $21,877.62 | |
U of Utah Health Plan
| Professional | $794.33 | $954.99 | $1,348.96 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |