| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,388.44 | $10,715.19 | $13,182.57 | |
Cigna
| Facility | $13,182.57 | $13,182.57 | $13,182.57 | |
U of Utah Health Plan
| Professional | $1,288.25 | $1,584.89 | $2,238.72 | |
United
| Facility | $4,466.84 | $8,317.64 | $13,182.57 |