| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $2,818.38 | $3,311.31 | $7,244.36 | |
U of Utah Health Plan
| Professional | $123.03 | $181.97 | $275.42 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |