| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $15.85 | $15.85 | $19.05 | |
Regence BlueShield
| Facility | $12.88 | $15.14 | $23.44 | |
U of Utah Health Plan
| Professional | $13.49 | $16.60 | $20.89 | |
United
| Professional | $13.49 | $15.14 | $16.22 |