| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $2,951.21 | $3,467.37 | $7,943.28 | |
U of Utah Health Plan
| Professional | $194.98 | $229.09 | $323.59 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |