| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,489.63 | |
U of Utah Health Plan
| Professional | $194.98 | $239.88 | $346.74 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |