| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.74 | $100.29 | $126.90 | |
Medica
| Facility | $93.74 | $113.05 | $202.80 | |
Medica
| Professional | $677.88 | $677.88 | $677.88 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.74 | $100.29 | $126.90 | |
Medica
| Facility | $93.74 | $113.05 | $202.80 | |
Medica
| Professional | $677.88 | $677.88 | $677.88 |