| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $1,380.38 | $1,380.38 | |
Aetna
| Professional | $104.71 | $104.71 | $302.00 | |
Regence BlueShield
| Facility | $245.47 | $288.40 | $776.25 | |
U of Utah Health Plan
| Professional | $85.11 | $85.11 | $85.11 |