| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $3,388.44 | $6,025.60 | |
Regence BlueShield
| Facility | $1,348.96 | $1,584.89 | $3,630.78 | |
Regence BlueShield
| Facility | 50 | $2,041.74 | $2,398.83 | $5,370.32 |
U of Utah Health Plan
| Professional | $95.50 | $117.49 | $169.82 | |
United
| Facility | $1,096.48 | $2,818.38 | $5,128.61 |