| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $107.15 | |
Aetna
| Professional | $107.15 | $275.42 | $316.23 | |
Regence BlueShield
| Facility | $309.03 | $363.08 | $575.44 | |
Select Health
| Professional | $331.13 | $331.13 | $912.01 | |
U of Utah Health Plan
| Professional | $309.03 | $338.84 | $338.84 | |
United
| Professional | $194.98 | $323.59 | $489.78 |