Quality and price should come hand in hand, a too-good-to-be-true price for an efficient air duct cleaning will not give you the quality that you wanted. To make sure you are getting your money’s worth, check reviews of air duct cleaning companies, certifications from industry since this work requires continuous learning due to new techniques and research breakthrough from time to time. My mom is located in Arizona and they trust J&M Restoration air duct cleaning company, they have an A+ BBB rating, they used EPA approved sanitizing agents, their technicians are NADCA certified, and the company is certified by the Institute of Inspection, cleaning and Restoration. Make sure to shop around and get written estimates first.
I have worked cleaning HVAC in my area for almost 5 years. I always do a thorough inspection and cleaning, providing before and after photos. I have completed some jobs where I felt that it was not entirely necessary, but ultimately what the customer wanted. With that being said, I have endless photos of unspeakable horrors. Hotels are usually nasty, post construction mess is certain, pets and kids create lots off debris, bugs congregate and die, then spiders set up and die, I have even had one supply that was nearly plugged with sand!
Duct cleaning has never been shown to actually prevent health problems. Neither do studies conclusively demonstrate that particle (e.g., dust) levels in homes increase because of dirty air ducts. This is because much of the dirt in air ducts adheres to duct surfaces and does not necessarily enter the living space. It is important to keep in mind that dirty air ducts are only one of many possible sources of particles that are present in homes. Pollutants that enter the home both from outdoors and indoor activities such as cooking, cleaning, smoking, or just moving around can cause greater exposure to contaminants than dirty air ducts. Moreover, there is no evidence that a light amount of household dust or other particulate matter in air ducts poses any risk to your health.