| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $295.12 | |
Aetna
| Professional | $199.53 | $295.12 | $363.08 | |
Regence BlueShield
| Facility | $309.03 | $363.08 | $524.81 | |
U of Utah Health Plan
| Professional | $338.84 | $363.08 | $416.87 | |
United
| Professional | $234.42 | $288.40 | $380.19 |