| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $6,025.60 | $8,709.64 | |
Regence BlueShield
| Facility | $5,495.41 | $6,456.54 | $14,791.08 | |
U of Utah Health Plan
| Professional | $1,000.00 | $1,288.25 | $1,949.84 | |
United
| Facility | $2,137.96 | $5,128.61 | $8,317.64 |