With a medical loss ratio of 82.2%, insurer Cigna has felt less pressure around medical costs than its peers, allowing the company to pull in $1.3 billion in profit during the first quarter of the year.

While the medical loss ratio is higher than it was last year at this time (when it was 79.9%), its Medicare Advantage footprint is smaller than that of other insurers, allowing it to escape much of the elevated cost trend that has affected its competitors.