| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $120.23 | |
Aetna
| Professional | $85.11 | $100.00 | $128.82 | |
BCBS
| Professional | $154.88 | $154.88 | $154.88 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $120.23 | |
Aetna
| Professional | $85.11 | $100.00 | $128.82 | |
BCBS
| Professional | $154.88 | $154.88 | $154.88 |