| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $7,244.36 | $8,511.38 | $19,952.62 | |
U of Utah Health Plan
| Professional | $537.03 | $691.83 | $1,047.13 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |