| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $4,570.88 | $7,943.28 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,489.63 | |
Regence BlueShield
| Facility | 50 | $7,585.78 | $8,912.51 | $20,417.38 |
U of Utah Health Plan
| Professional | $275.42 | $1,288.25 | $1,862.09 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |