| Jade | Gold | Platinum | |
|---|---|---|---|
| Price/30 days |
$51.30
$90 ded.
|
$62.70
$500 ded.
$76.50
$0 ded.
|
$96.00
$500 ded.
$113.70
$100 ded.
|
| PPO Network | Aetna | Aetna | Aetna |