| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $4,365.16 | $7,943.28 | |
Aetna
| Facility | 50 | $4,786.30 | $6,606.93 | $8,511.38 |
Regence BlueShield
| Facility | $3,311.31 | $3,890.45 | $8,912.51 | |
Regence BlueShield
| Facility | 50 | $5,011.87 | $5,888.44 | $13,489.63 |
U of Utah Health Plan
| Professional | $562.34 | $691.83 | $1,348.96 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |