| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $9,332.54 | $11,220.18 | $26,302.68 | |
U of Utah Health Plan
| Professional | $776.25 | $954.99 | $1,318.26 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |