| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $2,951.21 | $3,467.37 | $7,943.28 | |
U of Utah Health Plan
| Professional | $316.23 | $389.05 | $537.03 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |