| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.08 | $309.08 | $309.08 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |
Unspecified Periodontal Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.08 | $309.08 | $309.08 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |