| 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 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| 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 |