| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.10 | $129.83 | $135.30 | |
BCBS
| Facility | $1,642.13 | $1,749.68 | $1,944.09 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.10 | $129.83 | $135.30 | |
BCBS
| Facility | $1,642.13 | $1,749.68 | $1,944.09 |