| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.78 | $100.47 | $106.29 | |
CareFirst
| Professional | $128.69 | $141.00 | $180.48 | |
Kaiser Permanente
| Professional | $117.49 | $151.56 | $237.98 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.78 | $100.47 | $106.29 | |
CareFirst
| Professional | $128.69 | $141.00 | $180.48 | |
Kaiser Permanente
| Professional | $117.49 | $151.56 | $237.98 |