| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.07 | $103.33 | $126.90 | |
Moda Health
| Facility | $81.45 | $120.17 | $162.43 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.07 | $103.33 | $126.90 | |
Moda Health
| Facility | $81.45 | $120.17 | $162.43 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |