| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $5,623.41 | $8,511.38 | |
Regence BlueShield
| Facility | $4,365.16 | $5,128.61 | $12,022.64 | |
U of Utah Health Plan
| Professional | $398.11 | $478.63 | $691.83 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |