| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.49 | $227.49 | $227.49 | |
Aetna
| Professional | $100.29 | $227.49 | $227.49 | |
Anthem BCBS
| Professional | $118.15 | $152.90 | $290.14 |
Prdontal Scaling&Root Planing 4/More Teeth-Quad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.49 | $227.49 | $227.49 | |
Aetna
| Professional | $100.29 | $227.49 | $227.49 | |
Anthem BCBS
| Professional | $118.15 | $152.90 | $290.14 |