| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.07 | $101.07 | $101.07 | |
Aetna
| Professional | $100.29 | $101.07 | $107.62 | |
BCBS
| Professional | $202.11 | $203.63 | $239.56 | |
Medica
| Facility | $94.36 | $101.07 | $303.20 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.07 | $101.07 | $101.07 | |
Aetna
| Professional | $100.29 | $101.07 | $107.62 | |
BCBS
| Professional | $202.11 | $203.63 | $239.56 | |
Medica
| Facility | $94.36 | $101.07 | $303.20 |