| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $1,047.13 | $1,230.27 | $2,754.23 | |
Regence BlueShield
| Facility | 50 | $1,584.89 | $1,862.09 | $4,073.80 |
U of Utah Health Plan
| Professional | $112.20 | $323.59 | $457.09 | |
United
| Facility | $1,096.48 | $2,818.38 | $5,128.61 |