| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $6,025.60 | $9,332.54 | |
Regence BlueShield
| Facility | $4,365.16 | $5,128.61 | $12,022.64 | |
U of Utah Health Plan
| Professional | $338.84 | $416.87 | $602.56 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |