| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.14 | $100.54 | $120.17 | |
Aetna
| Professional | $89.14 | $100.54 | $120.17 | |
BCBS
| Professional | $133.40 | $153.51 | $156.58 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.14 | $100.54 | $120.17 | |
Aetna
| Professional | $89.14 | $100.54 | $120.17 | |
BCBS
| Professional | $133.40 | $153.51 | $156.58 |