| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,025.60 | $11,748.98 | |
Regence BlueShield
| Facility | $5,248.07 | $6,165.95 | $15,135.61 | |
Regence BlueShield
| Facility | 50 | $7,943.28 | $9,332.54 | $22,387.21 |
U of Utah Health Plan
| Professional | $691.83 | $870.96 | $1,230.27 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |