| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.50 | $93.50 | $93.50 | |
Aetna
| Professional | $85.54 | $93.50 | $97.24 |
Prdontal Scaling&Root Planing 4/More Teeth-Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.50 | $93.50 | $93.50 | |
Aetna
| Professional | $85.54 | $93.50 | $97.24 |