| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $1,174.90 | $1,174.90 | |
Aetna
| Professional | $1,174.90 | $3,019.95 | $3,467.37 | |
Regence BlueShield
| Facility | $3,388.44 | $3,981.07 | $6,309.57 | |
Select Health
| Professional | $3,630.78 | $3,630.78 | $10,000.00 | |
U of Utah Health Plan
| Professional | $263.03 | $588.84 | $3,715.35 | |
United
| Professional | $2,137.96 | $3,548.13 | $5,495.41 |