| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $4,466.84 | |
Regence BlueShield
| Facility | $1,348.96 | $1,584.89 | $3,467.37 | |
U of Utah Health Plan
| Professional | $109.65 | $776.25 | $1,230.27 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |