| Place | Team | Swimmers | Time | Splits |
|---|---|---|---|---|
| 1 | Gray Collegiate Academy "A" | Whitney Moody, Madison Mitton, Sarah Coker, Nina Chernev | 2:11.47 | |
| 2 | LEXINGTON "A" | Reagan Taylor, Angelina Luo, Riley Halloran, Lyla Jones | 2:17.01 | |
| 3 | Dutch Fork "A" | Olivia Newman-Norlund, Keli Taylor, Stella Kichukov, Karis Scott | 2:25.70 | |
| 4 | Gray Collegiate Academy "B" | Addison Shellem, Jordyn Sanson, Charlotte Capece, Kennedy Harris | 2:27.08 | |
| 5 | LEXINGTON "B" | Iva Francis, Charlotte Spencer, Aubriana Keller, Sarah Kolb | 2:45.33 | |
| 6 | Dutch Fork "B" | Jill Spirek, Jeanette Hickman, Jade Bakos, MaKenzie Scott | 2:47.45 | |
| DQ | LEXINGTON "C" | Arlie Eubanks, Celeste Greenidge, Kyleigh Sturkie, Brielle Macdonald | — |