| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $602.56 | $602.56 | |
Aetna
| Professional | $48.98 | $51.29 | $602.56 | |
Regence BlueShield
| Facility | $74.13 | $87.10 | $213.80 | |
U of Utah Health Plan
| Professional | $35.48 | $35.48 | $35.48 |