| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.83 | $133.13 | $133.13 | |
Anthem BCBS
| Professional | $127.90 | $139.00 | $182.03 | |
Harvard Pilgrim
| Professional | $151.93 | $301.39 | $500.47 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.83 | $133.13 | $133.13 | |
Anthem BCBS
| Professional | $127.90 | $139.00 | $182.03 | |
Harvard Pilgrim
| Professional | $151.93 | $301.39 | $500.47 |