| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.89 | $8,128.31 | $15,488.17 | |
Aetna
| Facility | 50 | $4,073.80 | $7,244.36 | $15,848.93 |
Regence BlueShield
| Facility | $8,317.64 | $9,772.37 | $21,877.62 | |
Regence BlueShield
| Facility | 50 | $12,589.25 | $14,791.08 | $33,113.11 |
U of Utah Health Plan
| Professional | $812.83 | $1,000.00 | $1,445.44 | |
United
| Facility | $3,019.95 | $5,128.61 | $15,848.93 |