| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $4,365.16 | $7,943.28 | |
Aetna
| Facility | 50 | $4,073.80 | $4,073.80 | $4,786.30 |
Regence BlueShield
| Facility | $5,495.41 | $6,456.54 | $14,791.08 | |
Regence BlueShield
| Facility | 50 | $8,128.31 | $9,549.93 | $22,387.21 |
U of Utah Health Plan
| Professional | $812.83 | $1,000.00 | $2,089.30 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |