| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $4,570.88 | $7,943.28 | |
Aetna
| Facility | 50 | $5,754.40 | $5,754.40 | $5,754.40 |
Regence BlueShield
| Facility | $5,128.61 | $6,025.60 | $13,489.63 | |
Regence BlueShield
| Facility | 50 | $7,585.78 | $8,912.51 | $20,417.38 |
U of Utah Health Plan
| Professional | $478.63 | $588.84 | $851.14 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |