| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $3,715.35 | $4,897.79 | |
Regence BlueShield
| Facility | $13,803.84 | $16,218.10 | $36,307.81 | |
U of Utah Health Plan
| Professional | $1,174.90 | $1,445.44 | $1,949.84 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |