| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.00 | $753.00 | $1,250.00 | |
Horizon BCBS
| Facility | $470.66 | $564.57 | $1,146.61 |
Unspecified Periodontal Procedure By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.00 | $753.00 | $1,250.00 | |
Horizon BCBS
| Facility | $470.66 | $564.57 | $1,146.61 |