| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,197.01 | $18,197.01 | $18,197.01 | |
Aetna
| Professional | $14,125.38 | $15,848.93 | $19,952.62 | |
Cigna
| Professional | $16,218.10 | $16,218.10 | $16,218.10 | |
Regence BlueShield
| Facility | $28,840.32 | $33,884.42 | $74,131.02 | |
U of Utah Health Plan
| Professional | $15,848.93 | $15,848.93 | $15,848.93 |