| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $41.69 | |
Aetna
| Professional | $41.69 | $41.69 | $51.29 | |
Regence BlueShield
| Facility | $47.86 | $56.23 | $87.10 | |
U of Utah Health Plan
| Professional | $50.12 | $60.26 | $60.26 | |
United
| Professional | $50.12 | $57.54 | $60.26 |