| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $3,162.28 | $4,570.88 | |
Regence BlueShield
| Facility | $18,620.87 | $21,877.62 | $50,118.72 | |
U of Utah Health Plan
| Professional | $398.11 | $512.86 | $741.31 | |
United
| Facility | $3,311.31 | $5,128.61 | $75,857.76 |