| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.75 | $71.75 | $71.75 | |
Aetna
| Professional | $71.75 | $100.47 | $109.32 |
Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.75 | $71.75 | $71.75 | |
Aetna
| Professional | $71.75 | $100.47 | $109.32 |