| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $5,888.44 | $8,511.38 | |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,489.63 | |
U of Utah Health Plan
| Professional | $398.11 | $489.78 | $676.08 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |