| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $97.72 | $131.83 | |
Anthem BCBS
| Professional | $128.82 | $138.04 | $186.21 | |
Harvard Pilgrim
| Professional | $151.36 | $251.19 | $398.11 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $97.72 | $131.83 | |
Anthem BCBS
| Professional | $128.82 | $138.04 | $186.21 | |
Harvard Pilgrim
| Professional | $151.36 | $251.19 | $398.11 |